CALIFORNIA STATE PERSONNEL BOARD801 Capitol Mall • Sacramento, California 95814
DATE: April 7, 2000
TO: ALL STATE AGENCIES AND EMPLOYEE ORGANIZATIONSDISABLED PROGRAM COORDINATORSEDD JOB SERVICE OFFICESEEO OFFICERSPERSONNEL OFFICERS
SUBJECT: Nontesting Classifications
This memorandum refers to recently enacted legislation effective January 1, 2000, whichrequires priority consideration for any person receiving public assistance under theCalWORKs program for any specified seasonal or entry level nontesting class vacancy.Since 1983, Government Code Sections 19063 through 19063.8 have required that priorityconsideration for seasonal jobs be given to qualified persons receiving public assistance.Senate Bill 1073 (Chapter 310, Statutes of 1999) adds all entry level nontestingclassifications to those for which priority consideration must be given. This memorandumprovides state agencies with guidance on the specified seasonal and entry level nontestingclassifications affected and the process established to assist state agencies to comply withthis legislation.
Attached you will find copies of Government Code Sections 19063 through 19063.8 asamended by Senate Bill 1073 (Attachment A), the list of seasonal and entry levelnontesting classifications for which CalWORKs recipients are to be given priority hiringconsideration, and the revised forms to be used for record keeping and auditdocumentation purposes.
GENERAL PROGRAM REQUIREMENTS
Effective January 1, 2000, any person receiving state public assistance under theCalWORKs program who meets the minimum qualifications for any specified seasonal oran entry level nontesting class shall be given priority consideration. For purposes of thisarticle, priority consideration means that each state agency is required to hire qualified andinterested job applicants who are receiving assistance under the CalWORKs program,before hiring any other applicant when filling vacant positions in the classes listed onAttachment B. If a state agency does not select a public assistance recipient to fill anopening, it shall document in its employment records the reasons why the publicassistance recipient was not selected.
Government Code Section 19063 through 19063.8 ImplementationPage 2
PROCEDURES
Obtaining CalWORKs Referrals
To obtain CalWORKs referrals, a state agency must list each vacancy with theEmployment Development Department (EDD) Job Service Office closest to the work site.Attachment C is a current listing of EDD Job Service Offices, however state agencies areencouraged to check with EDD for any changes in office locations.
Participation in a seasonal or entry level nontesting class vacancy by a public assistancerecipient shall be voluntary only and in no event shall any person be subject to sanctions,through loss of benefits or eligibility, for not applying for, accepting, or continuing in sucha position. Job announcements posted for vacancies covered by this program mustexplain the voluntary nature of the application to work in a seasonal or entry levelnontesting class opening, the class title, job requirements, amount of pay, estimatednumber of hours, duration, work location and the job qualifications. All notices shall alsoinform public assistance recipients that they will have priority in being hired for jobs inthese openings as provided in Section 19063.
State agencies may establish qualified hiring pools of CalWORKs recipients, which willbe used to fill several vacancies. Hiring pools can significantly reduce the time necessaryto recruit, interview and select employees for these classes. Public assistance recipientswho apply for openings under this article shall be required to undergo the sameemployment process used by state agencies to select any other person for appointment to aposition in such a class. When a vacancy needs to be filled, and a hiring pool exists, thenew employee can quickly be selected from the available names contained in the pool.
While the majority of applicants will be through referrals from local EDD Job ServicesOffices, some CalWORKs recipients may contact hiring agencies directly. Theseapplicants must also be given hiring priority under the program. Written verification mustbe obtained through the county Social Services Department for any non-EDD referredapplicant who indicates that they are receiving CalWORKs benefits.
Exceptions & Waiver
Qualified and interested CalWORKs recipients must be hired before any other applicantexcept in the following circumstances:
1. A State agency is not precluded from hiring any person appointed during theprior 12 months in the same nontesting class.
2. Any seasonal or entry level nontesting classification specifically designed tosupport a program to train students, as determined by the board, to the extentthat they are authorized as of the effective date of this article, shall be exemptfrom this article. However, state agencies shall be encouraged by the SPB toincrease their efforts to recruit disadvantaged youth or students for these jobs.
Government Code Section 19063 through 19063.8 ImplementationPage 3
3. Upon prior approval of the Governor, the provisions of the article may bewaived in order to address an emergency, which threatens the public health orsafety, the State’s natural resources, or the economy. If an emergency waiveris granted, notification including reasons for the waiver shall be forwarded tothe Joint Legislative Budget Committee within five working days. Requestsfor a Governor’s waiver in order to address an emergency as outlined in theexception criteria should be submitted in writing to:
Department of Personnel AdministrationAttn: S.R.O.A. Coordinator 1515 S StreetSacramento, CA 95814
Documentation Requirements
The law requires state agencies to document in its employment records the reasons whythe public assistance recipient was not selected. The following process will be used togather this information:
A. Each PAR document which records an appointment to any of the designatedclasses, must indicate under Item 957, Other Eligibility Substantiation, whetherthe appointment was a CalWORKs applicant, a returning CalWORKsemployee, a returning employee, or a non-CalWORKs applicant. A revision tothe PAM will be issued by the State Controller’s Office to incorporate the lawchanges.
B. Departments are required to maintain written documentation regarding allappointments to specified nontesting seasonal and entry level classifications.This documentation should be compiled on the Report of Appointment toNontesting Classification Subject to Government Code Section 19063, Form100-264 (Attachment D). This documentation must be maintained by thehiring department for a period of three years after the appointment date foraudit purposes. A copy of these forms can be downloaded from the SPB website at www.spb.ca.gov.
If you have any questions regarding this program you may contact Kris Sullivan orJennifer Roche, Personnel Resources & Innovations Division, Policy Review andConsultation Services, at (916) 653-0818, CALNET 8-453–0818 or TDD (916) 653-1498.
LAURA M. AGUILERA, ChiefPersonnel Resources and Innovations Division
Attachments
Attachment A
GOVERNMENT CODESECTION 19063-19063.8
SEC.5. Section 19063 of the Government Code is amended to read:
19063. (a) Any person receiving state public assistance under the CalWORKs program (Article3.2 (commencing with Section 11320) of Chapter 2 of Part 3 of Division 9 of the Welfare andInstitutions Code) who meets the minimum qualifications for any civil service position describedby the State Personnel Board as a seasonal or an entry level nontesting class that does not requirean examination shall be given priority consideration. "Priority consideration" means, for thepurposes of this article, that after consideration has been made for all conditions described in thissection, the state agency involved shall hire all qualified job applicants who are receiving statepublic assistance before hiring any other applicant. The board shall review all nontesting classesand determine those that are subject to this article. (b) Public assistance recipients who apply for openings under this article shall be required toundergo the same employment process used by state agencies to select any other person forappointment to a position in such a class. If a state agency does not select a public assistancerecipient to fill an opening, it shall document in its employment records the reasons why thepublic assistance recipient was not selected and any other information determined to benecessary by the board. (c) The employment of public assistance recipients shall be consistent with the goalsestablished by each agency under Section 19790. (d) This section shall not preclude a state agency from hiring any person appointed during theprior 12 months in the class for which the vacancy exists.
SEC. 6. Section 19063.1 of the Government Code is amended to read:
19063.1. Each state agency that intends to establish qualified hiring pools, as defined by theState Personnel Board, for seasonal or entry level nontesting class employment shall notify theEmployment Development Department or its delegate in the area where the openings areexpected to occur at least 45 calendar days prior to the establishment of the pool. The stateagency shall request referrals of public assistance recipients and at the same time shall providenecessary job-related information.
SEC. 7. Section 19063.2 of the Government Code is amended to read:
19063.2. Each state agency that has an open seasonal or entry level nontesting class position, butdoes not have a qualified hiring pool, shall notify the Employment Development Department orits delegate in the area where the job is located of the opening no later than five working daysafter the vacancy occurs. The state agency shall request referrals of public assistance recipientsand at the same time shall provide necessary job-related information. The agency shall provide areasonable period for referrals, but not less than 10 working days.
Attachment A
19063.3. This article may be waived by the Governor, if requested to do so by the state agencyinvolved, in order to address an emergency which threatens the public health or safety, the state'snatural resources, or the economy. If an emergency waiver is granted, notification includingreasons for the waiver shall be forwarded to the Joint Legislative Budget Committee within fiveworking days.
19063.4. If no public assistance recipient applies for a opening within the time limits establishedby this article, the state agency may fill the opening with a person not receiving publicassistance. In the event a person not receiving public assistance is hired, the state agency shallplace a certification in its employment records stating the date it contacted the EmploymentDevelopment Department or its designate, the name of the person contacted, the date the positionwas filled, and any other information determined to be necessary by the State Personnel Board.
SEC. 8. Section 19063.5 of the Government Code is amended to read:
19063.5. Notwithstanding any other provision of law, participation in a seasonal or entry levelnontesting class vacancy by a public assistance recipient shall be voluntary only, and in no eventshall any person be subject to sanctions, through loss of benefits or eligibility, for not applyingfor, accepting, or continuing in such a position. All notices shall explain the voluntary nature ofthe application to work in a seasonal or entry level nontesting class opening, the jobrequirements, the amount of pay, and the job qualifications. All notices, shall also inform publicassistance recipients that they will have priority in being hired for jobs in these openings asprovided in Section 19063.
SEC. 9. Section 19063.8 of the Government Code is amended to read: 19063.8. Any seasonal or entry level nontesting classifications specifically designed to support aprogram to train students, as determined by the board, to the extent that they are authorized asof the effective date of this article, shall be exempt from this article. However, state agenciesshall be encouraged by the board to increase their efforts to recruit disadvantaged youth orstudents for these jobs.
Attachment BSTATE CIVIL SERVICE
NON-TESTING CLASSIFICATIONSSUBJECT TO GC SECTION 19063
Rev. 4/00 -1-
Non-Testing Subject to GC19063
Class Title CurrentAdded 1/1/00
Agricultural Aide (Seasonal) XAgricultural Inspector/Technician I (Seasonal) XAgricultural Inspector/Technician II (Seasonal) XAgricultural Inspector/Technician III (Seasonal) XAgricultural Survey Interviewer I XAnimal Technician I XArcheological Aid (Seasonal) XArcheological Project Leader (Seasonal) XArcheological Specialist (Seasonal) XAssistant Exam Proctor XBackcountry Trails Camp Supv, CCC XCommunity Youth Resouce Specialist XElection Official, PERB XExam Proctor XExposition Assistant I XFire Lookout (Seasonal) XFish & Wildlife Scientific Aid XFish & Wildlife Seasonal Aid XGroup Supervisor Trainee XGuide Trainee, Historical Monument XLabor Supervisor (Casual Employment) XLaborer - Building Trades (Casual Employment) XLicense Inspector (Seasonal) XLifeguard I (Seasonal) XLifeguard II (Seasonal) XMaintenance Aid (Seasonal) XMaintenance & Service Occupational Trainee XMechanical & Technical Occupational Trainee XOffice Occupations Trainee XPark Aid (Seasonal) XPark Aid (Seasonal) (Angel Island) XPark Interpretive Specialist (Seasonal) XPool Lifeguard (Seasonal) XProcessing Fruit & Vegetable Inspector I (Seasonal) XProcessing Fruit & Vegetable Inspector II (Seasonal) XProcessing Fruit & Vegetable Inspector III (Seasonal) XScientific Aide XSeasonal Clerk XSenior Park Aid (Seasonal) XSkilled Trades Apprentice (Casual Employment) X
Attachment BSTATE CIVIL SERVICE
NON-TESTING CLASSIFICATIONSSUBJECT TO GC SECTION 19063
Rev. 4/00 -2-
Non-Testing Subject to GC19063Class Title Current 1/1/00
Skilled Trades Apprentice (Casual Employment) (Asbestos Worker Mechanic) XSkilled Trades Apprentice (Casual Employment) (Blacksmith) XSkilled Trades Apprentice (Casual Employment) (Carpenter) XSkilled Trades Apprentice (Casual Employment) (Carpet/Soft Tile Setter/Resilient Floor Covering Installer)
X
Skilled Trades Apprentice (Casual Employment) (Cement Finisher) XSkilled Trades Apprentice (Casual Employment) (Construction Equipment) XSkilled Trades Apprentice (Casual Employment) (Electrician) XSkilled Trades Apprentice (Casual Employment) (Fusion Welder) XSkilled Trades Apprentice (Casual Employment) (Glazier) XSkilled Trades Apprentice (Casual Employment) (Hodcarrier) XSkilled Trades Apprentice (Casual Employment) (Lather) XSkilled Trades Apprentice (Casual Employment) (Mason) XSkilled Trades Apprentice (Casual Employment) (Metal Trades) XSkilled Trades Apprentice (Casual Employment) (Millwright) XSkilled Trades Apprentice (Casual Employment) (Operating Engineer) XSkilled Trades Apprentice (Casual Employment) (Painter) XSkilled Trades Apprentice (Casual Employment) (Plasterer) XSkilled Trades Apprentice (Casual Employment) (Plumber) XSkilled Trades Apprentice (Casual Employment) (Reinforcing Steel) XSkilled Trades Apprentice (Casual Employment) (Roofer) XSkilled Trades Apprentice (Casual Employment) (Sheet Metal) XSkilled Trades Apprentice (Casual Employment) (Shipwright) XSkilled Trades Apprentice (Casual Employment) (Steamfitter) XSkilled Trades Apprentice (Casual Employment) (Structural Steel) XSkilled Trades Apprentice (Casual Employment) (Tile Setter) XSkilled Trades Apprentice (Casual Employment) (Welder) XSnow Gauger XState Fair Worker (Casual Employment) (Various) XSurvey Interviewer XTemporary Clerk X
Attachment C
Page 1 March 31, 2000
EMPLOYMENT DEVELOPMENT DEPARTMENTJOB SERVICE LOCATIONS BY COUNTY
ALAMEDA COUNTY
Fremont39155 Liberty Street, B200510.794.3753510.794.2400 Fax
Hayward22225 Foothill Boulevard510.887.4660510.783.2556 Fax
Oakland675 Hegenberger Road510.563.5283510.563.5347 Fax
BUTTE COUNTY
Chico CommunityEmployment Center2445 Carmichael Drive530.895.4634530.895.6488 Fax
Oroville2185 Baldwin Avenue530.538.7301530.534.1167
CALAVERAS COUNTY
Angels Camp571 Stanislaus Avenue209.736.9693209.736.4064 Fax
COLUSA COUNTY
Colusa146 Market Street530.458.7642530.458.7918 Fax
CONTRA COSTA COUNTY
Antioch218 I Street925.777.2109925.756.1758 Fax
Brentwood120 Oak Street925.777.2109925.756.1758 Fax
Pleasant Hill363 Civic Drive925.602.1563925.602.1540 Fax
Richmond330 – 25th Street510.970.7379510.970.7372 Fax
DEL NORTE COUNTY
Crescent City245 Price Mall707.464.2112707.464.5695 Fax
EL DORADO COUNTY
Meyers3141 U.S. Highway 50, Suite B530.573.2330530.573.2320 Fax
Placerville4535 Missouri Flat Road, Suite101530.642.5516530.642.5523 Fax
South Lake Tahoe3141 U.S. Highway 50, Suite B530.573.6740530.573.6735 Fax
FRESNO COUNTY
Fresno – North1455 E. Shaw Avenue559.244.7676559.244.7686 Fax
Fresno – West2555 S. Elm Avenue559.455.6747559.455.5850 Fax
Huron36612 Central Avenue559.945.5002559.945.2995 Fax
Mendota660 Tule Street559.655.3711559.655.3453 Fax
Sanger1939 Academy Avenue559.875.1736559.875.7585 Fax
HUMBOLDT COUNTY
Eureka409 K Street707.445.6531707.444.2222 24-Hour Job Line707.445.6781 Fax
IMPERIAL COUNTY
Calexico601 South Imperial Avenue760.339.2709760.339.2740 Fax
El Centro1550 W. Main Street760.339.2709760.339.2740 Fax
INYO COUNTY
Bishop873 N. Main Street760.873.7185760.873.6902 Fax
Attachment C
Page 2 March 31, 2000
KERN COUNTY
Bakersfield1924 Q Street661.395.2804661.322.4334 Fax
Bakersfield5121 Stockdale Highway, Suite100661.336.6700661.336.2750 Fax
Delano800 11th Avenue661.721.3411661.725.4364 Fax
Lamont10215 Stobaugh Street661.336.6789661.336.6817 Fax
Ridgecrest540 Perdew Street, Suite C760.446.5373760.446.5108 Fax
KINGS COUNTY
Hanford124 N. Irwin Street559.585.3540559.584.3763 Fax
LAKE COUNTY
Clearlake7105 S. Civic Center Drive,Suite 420707.994.6711707.263.7637 Fax
Lakeport991 Parallel Drive707.262.3105707.263.7637 Fax
LASSEN COUNTY
Susanville2545 Main Street530.251.2854530.257.9710 Fax
LOS ANGELES COUNTY
Canoga Park21010 Vanowen Street818.596.4200818.596.4228 Fax
Carson1 Civic Plaza, Suite 500323.290.5280323.290.5110
Chatsworth One-Stop20500 Nordoff Street818.596.4200818.596.4228 Fax
City of Commerce1231 S. Gerhart626.350.6509626.459.4371 Fax
Compton1940 N. Bullis Road310.223.1200310.604.1441 Fax
Compton700 N. Bullis Road310.605.3050310.605.3067 Fax
El Monte10404 E. Valley Boulevard626.350.6509626.459.4371 Fax
Gardena16801 S. Western Avenue, SuiteA310.217.9579310.217.6146 Fax
Glendale1255 S. Central Avenue818.596.4200818.596.4228 Fax
Huntington Park2677 Zoe Street323.290.5280323.290.5110 Fax
Inglewood110 S. La Brea Avenue, Room503323.290.5280323.290.5110 Fax
Inglewood2930 W. Imperial Highway#515323.290.5280323.290.5110 Fax
Lancaster1420 West Avenue I661.945.8131661.945.5767 Fax
Long Beach3447 Atlantic Avenue562.570.3658562.570.3790 Fax
Los Angeles-Crenshaw5401 S. Crenshaw Boulevard323.290.5280323.290.5110 Fax
Los Angeles-South Central12700 S. Avalon Boulevard323.290.5280323.290.5110 Fax
Los Angeles Metropolitan158 W. 14th Street626.350.6509626.459.4371 Fax
Los Angeles3921 Selig Place323.290.5280323.290.5110 Fax
Norwalk12715 S. Pioneer Boulevard626.350.6509626.459.4371 Fax
Pasadena1207 E. Green Street626.350.6509626.459.4371 Fax
Pomona150 E. Arrow Highway626.350.6509626.459.4371 Fax
Attachment C
Page 3 March 31, 2000
San Fernando1250 San Fernando Road818.596.4200818.596.4228 Fax
San Pedro1851 N. Gaffey Street323.290.5280323.290.5110 Fax
Santa Clarita21515 Soledad Canyon Road,Suite 121818.596.4200818.596.4228 Fax
Santa Monica932 Broadway323.290.5280323.290.5110 Fax
Sun Valley One-Stop9024 Laurel Canyon Boulevard818.596.4200818.596.4228 Fax
Torrance1220 Engracia Avenue323.290.5280323.290.5110 Fax
Watts/Southeast10950 S. Central Avenue323.290.5280323.290.5110 Fax
West Covina933 S. Glendora Avenue626.350.6509626.459.4371 Fax
Whittier9825 S. Painter Avenue626.350.6509626.459.4371 Fax
MADERA COUNTY
Madera114 South A Street559.675.5264559.673.1789 Fax
MARIN COUNTY
San Rafael3301 Kerner Boulevard415.257.3660415.454.2699 Fax
MENDOCINO COUNTY
Fort Bragg310 E. Redwood Avenue707.964.3295707.964.2109 Fax
Ukiah631 South Orchard707.463.5710707.463.4795 Fax
Willits1155 South Main Street707.459.3885707.459.7050 Fax
MERCED COUNTY
Los Banos1075 H Street209.826.0420209.826.4068 Fax
Merced1205 West 18th Street209.726.5404209.726.5444
MODOC COUNTY
Alturas802 N. East Street530.233.4133530.233.7716 Fax
MONTEREY COUNTY
Greenfield690 Walnut Avenue831.674.4065831.674.4050 Fax
Monterey Peninsula480 Webster Street831.649.2925831.649.2828 Fax
Salinas730 La Guardia Street831.796.3696831.796.3650 Fax
NEVADA COUNTY
Nevada City117 New Mohawk Road, Suite D530.470.1902530.470.1906 Fax
Truckee10075 Levon Avenue, Suite 206530.582.7332530.582.7335 Fax
ORANGE COUNTY
Anaheim2450 E. Lincoln Avenue714.518.2323714.518.2393 Fax
Costa Mesa1675 Scenic Avenue, Suite 100714.518.2323714.518.2394 Fax
Garden Grove11277 Garden Grove Blvd.,Suite 101C714.518.2323715.518.2394 Fax
Mission Viejo23456 Madero Street #150714.518.2323714.518.2392 Fax
Santa Ana1000 E. Santa Ana Blvd., Suite103714.518.2323714.518.2394 Fax
PLACER COUNTY
Roseville1800 Sierra Gardens Dr., Suite100916.774.4045916.786.6177 Fax
Attachment C
Page 4 March 31, 2000
PLUMAS COUNTY
Quincy1905 E. Main Street530.283.6852530.283.4317
RIVERSIDE COUNTY
Blythe1277 W. Hobson Way760.922.3173760.342.7590
Corona237 W. River Road909.340.4060909.734.5783 Fax
Hemet151 N. Lyon Avenue909.765.0731909.652.9841 Fax
Indio47110 Calhoun Street760.922.3173760.342.7590 Fax
Palm Springs1111 E. Tahquitz Canyon Way,Suite C760.568.4551760.327.3984 Fax
Riverside1161 Spruce Street909.955.2200909.955.2220 Fax
Temecula27447 Enterprise Circle West909.600.6000909.600.6035 Fax
SACRAMENTO COUNTY
Sacramento-Midtown2901 50th Street916.227.0301916.227.0208 Fax
SAN BERNARDINOCOUNTY
Barstow2700 Barstow Road760.252.2878760.252.7547 Fax
San Bernardino646 N. Sierra Way909.888.8385909.798.6857 Fax
Fontana17590 Foothill Boulevard909.350.2083909.350.8942 Fax
Ontario2314 S. Mountain Avenue, Suite A909.458.1650909.460.7659 Fax
Redlands814 W. Colton Avenue909.798.0683909.798.6857 Fax
Victorville15419 Cholame760.241.1647760.241.2468 Fax
SAN BENITO COUNTY
Hollister1111 San Felipe Road, Suite 107831.638.3311831.637.0478 Fax
SAN DIEGO COUNTY
Chula Vista1111 Bay Boulevard619.424.1112619.424.1144 Fax
El Cajon924 E. Main Street619.689.6227619.689.6231 Fax
Escondido1935 E. Valley Parkway619.689.6227619.689.6231 Fax
Oceanside2027 E. Mission Avenue, Suite E619.689.6227619.689.6231 FAX
San Diego6145 Imperial Avenue619.689.6227619.689.6231 Fax
SAN FRANCISCO COUNTY
San Francisco3120 Mission Street415.749.7500415.749.7477 Fax
SAN JOAQUIN COUNTY
Lodi631 E. Oak Street209.333.6904209.941.1935 Fax
Manteca1783 W. Yosemite Avenue209.825.1360209.941.1935 Fax
Stockton135 W. Fremont Street209.948.7862209.941.1935 Fax
Tracy213 West 11th Street209.833.1020209.833.1027 Fax
SAN LUIS OBISPOCOUNTY
Paso Robles2800 Buena Vista Dr., Bldg.4000805.238.4847805.238.5067 Fax
Attachment C
Page 5 March 31, 2000
San Luis Obispo4111 Broad Street, #A805.788.2697805.549.9974 Fax
SAN MATEO COUNTY
South San Francisco230 S. Spruce Avenue650.737.2605650.737.9379 Fax
Santa Barbara County130 E. Ortega Street805.568.1280805.568.1316 Fax
Santa Maria304 W. Carmen Lane805.349.8123805.922.4912 Fax
SANTA CLARA COUNTY
Campbell2450 S. Bascom Avenue408.369.3604408.369.3680 Fax
Sunnyvale420 S. Pastoria Avenue408.774.2374408.732.8526 Fax
SANTA CRUZ COUNTY
Capitola2045 40th Avenue, Suite B831.464.5627831.462.4369 Fax
Watsonville18 W. Beach Street831.464.6283831.763.8706 Fax
SHASTA COUNTY
Redding1325 Pine Street530.225.2284530.225.2206 Fax
SISKIYOU COUNTY
Weed310 Boles Street530.938.3231530.938.1366 Fax
SOLANO COUNTY
Suisun320 Campus Lane707.863.3570707.864.3216 Fax
Vallejo1440 Marin Street707.649.4706707.645.9856 Fax
SONOMA COUNTY
Petaluma680 Sonoma Mountain Parkway707.778.2440707.778.2439 Fax
Santa Rosa606 Healdsburg Avenue707.576.2360707.576.2859 Fax
STANISLAUS COUNTY
Modesto629 12th Street209.576.6005209.576.6197 Fax
Oakdale1405 West F Street, Suite J209.848.4241209.848.4235 Fax
Turlock125 N. Broadway209.669.2950209.669.2965 Fax
TRINITY COUNTY
Weaverville1248 Main Street530.623.2342630.623.5276 Fax
TULARE COUNTY
Porterville61 N. Second Street559.788.6452559.788.6485 Fax
Visalia2370 W. Whitendale559.636.7350559.739.0633 Fax
TUOLUMNE COUNTY
Sonora19890 Cedar Road, North, Suite B209.536.2971209.536.2977 Fax
VENTURA COUNTY
Oxnard635 S. Ventura Road805.382.8614805.382.8701
Simi Valley980 enchanted Way, Suite 105805.582.8714805.522.8328 Fax
YOLO COUNTY
West Sacramento500 A Jefferson Boulevard,Suite 110916.375.6288916.375.6310 Fax
Woodland825 East Street, Bldg. C530.668.3111530.668.3153
YUBA COUNTY
Marysville1204 E Street530.741.4151530.743.7058 Fax
State Personnel BoardForm 100-264 (4/00)
REPORT OF APPOINTMENT TO NON-TESTING CLASSIFICATIONSUBJECT TO GOVERNMENT CODE 19063
1. Department:
5. Location (City) of Position Filled:
4. Non-Testing Classification of Hire:
2. Institution, Hospital or Facility (if applicable):
7. Name of Person Hired:
COMPLETED FORMS MUST BE RETAINED FOR SPB AUDIT PURPOSES FOR THREE (3) YEARSAFTER THE APPOINTMENT DATE FOR WHICH IT WAS COMPLETED.
Name & Title of Person Completing Form (Date)(Telephone Number)
New Hire:
Rehire of Former Non-Testing Employee, in sameclassification, within 12 months of last date worked:
9. Appointment Type:
6. Effective Date of Hire:
(Date Last Worked)
a. Is the person hired a CALWORKs recipeint (or were they at thetime job was offerred)?
b. Was this hire made from an established employment pool?
c. Was this hire made under the provisions of a waiver in order toaddress an emergency as described in Section 19063.3 of thisAct?
Yes (Go to Section II)No (Answer Question b.)
Yes (Notify the Joint Legislative Budget Committeewithin five days of date of hire of the circumstancesjustifying the need for the waiver and attach DPA waiverapproval.)No (Completed Form 264 - Side 2)
Yes (Completed Form 264 - Side 2 & Go to Section II)
No (Answer Question c.)
I. Position & Appointment Information
3. Position Number:
8. Social Security Number:
II. Documentation & Certification
The provisions of Government Code Section (GCS) 19063 require that all appointments to nontesting, seasonal or entry-level posi-tions be documented to ensure that public assistance recipients under CALWORKs are provided with priority consideration.
I hereby certify, by signature below, that all requirements of GCS 19063 were applied to this hire and that required documentation, asapplicable, is maintained on file.
State Personnel BoardForm 100-264 - Side 2
DOCUMENTATION FOR ESTABLISHMENT OF HIRING POOLAND APPOINTMENT TO NONTESTING, SEASONAL & ENTRY-LEVEL
CLASSIFICATIONS SUBJECT TO GOVERNMENT CODE 19063
Department:
Non-Testing Classificationfor Appointment/Hiring Pool:
Work Location (City) forPosition/Hiring Pool:
Location of Employment Development Department(EDD) One-Stop/Job Service Office Contacted:
Date EDD Contacted: Date Listed on CalJOBS: Final Date for AcceptingApplications:
Institution, Hospital orFacility (if applicable):
Number ofPositions:
Estimated Hoursper Month:
For Hiring Pools (if applicable):
# of CALWORKS Applicants Referred byEDD:
# of CALWORKS ApplicantsDirectly Replied:
# of non-CALWORKSApplicants Directly Replied:
HIRING POOL OR APPOINTMENT APPLICANT DOCUMENTATION
Name of Applicant Placed inPool or Hired
(Yes-Give Date or No)
CALWORKSAppplicant(Yes or No)
IF CALWORKs Applicant Not Placed in Pool/Hired, Specify Reason:Did NotAppear
Does notMeetMQs
WaivedJob Offer
Other (Specify)
COMPLETED FORMS MUST BE RETAINED FOR SPB AUDIT PURPOSES FOR THREE (3) YEARSAFTER THE APPOINTMENT DATE FOR WHICH IT WAS COMPLETED.
Name & Title of PersonCompleting Form:
Date:TelephoneNumber:
New Pool Merge With Existing PoolDate Pool Established: