Dual Appointment or Extra Service Approval

Request for approval to serve with another state agency for dual appointment or extra service.

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Completing the PDF Form

  1. Read through all pages of the document to find specific instructions, if any
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:         

Human Resources
120 Crofts Hall
North Campus

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ePTF Support

ePTF Support Staff

State Appointment Processing

Phone: 716-645-3783

HR Customer Service

Customer Service

Human Resources

120 Crofts Hall

Phone: 716-645-7777

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: March 3013

Owner: New York State Office of State Comptroller