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Individual service request form

Individual service request 2026

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The document is an Individual Service Request form from the California Department of Corrections and Rehabilitation, used to initiate the employment process for peace officer positions. It outlines the necessary steps and documentation required for appointment, including background checks and medical clearances, as well as various types of appointments and tenure options.

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Click ‘Get Form’ to open the individual service request in the editor.
Begin with Part A, selecting the type of appointment. Choose from options like Reinstatement, Lateral Transfer, or Executive Appointment by clicking the appropriate checkbox.
In Part B, indicate the tenure and timebase of the position. Select whether it is Permanent, Limited Term, or Temporary/Seasonal and specify if it is Full-time, Intermittent, or Part-time.
Fill out Part D with your personal information including your name, social security number, home address, and contact numbers. Ensure all fields are completed accurately.
In Part E, provide details for the facility personnel officer or contact person. Include their name, title, phone number, and address.
Review Part F’s document checklist to ensure you have included all necessary documents such as a completed personal history statement and certified transcripts.
Finally, sign and date the form in the designated area before submitting it to the regional testing center.

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Versions	Form popularity	Fillable & printable
2009	4.8 Satisfied (215 Votes)

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What is the purpose of a service request?

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Individual service request 2026

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