Indicate by means of a check or “x” whether the position is new, transferred, or a reclassification.
 

Indicate the number of positions covered by the Statement of Duties. Only one classification title may be included on a statement.
 

“Title Requested:” Indicate County classification title.
 

“Division Name:” Indicate the division where the position will be budgeted.
 

“DMH Cost Center:” Indicate the five digit cost center to which the position will be budgeted/assigned.
 

“Duties Station Assignment:” Provide general description of proposed duties.
 

“Title of Immediate Supervisor:” Indicate the budgeted title of the requested position’s immediate supervisor.
 

“Proposed Duties:” Narrative of specific job duties performed.
 

“Justification:” Provide a succinct rationale for the position.
 

Provide name, signature, title, and telephone number of requestor.