Agency Guide For Completing The Position Description Form PDF
Agency Guide For Completing The Position Description Form PDF
7. NAME: This box should contain the employee’s name. If the position is vacant, please write “vacant.”
8. LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER: For security reasons, only provide the last four digits
of the Social Security Number. If the position is vacant, leave this field blank.
9a. CLASSIFIED AND/OR WORKING TITLE: The Working Title can be the same or different than the position’s
actual classified title.
9b. HOW LONG HAVE YOU BEEN IN THIS POSITION: Indicate the number of years and months in the
position. If the position is vacant, leave this field blank.
9c. HOW LONG HAVE YOU WORKED FOR THIS AGENCY: Indicate the number of years and months in the
agency. If the position is vacant, leave this field blank.
10. DO YOU BELIEVE YOUR PRESENT CLASSIFICATION IS CORRECT?: By selecting “NO,” a review of the
position is being requested. The incumbent should provide the appropriate classification title and explain why
they believe the position is incorrectly classified. If the agency is requesting a new position, leave this field
blank.)
11. NAME AND TITLE OF IMMEDIATE SUPERVISOR: This should be the name of the individual with direct
supervision over the position. Please use classified titles rather than working titles.
12. NAMES AND TITLES OF OTHERS WHO MAY ASSIGN OR EVALUATE YOUR WORK: Provide the
requested names and indicate classified titles rather than working titles.
13. DOES THIS POSITION HAVE ON-CALL, MANDATORY OVERTIME, OR OTHER UNUSUAL
SCHEDULING THAT SHOULD BE CONSIDERED: Indicate if the position requires rotating hours, on-call
duties, or other special/unusual schedules. For certain classes (nurses, etc.), this information can be a crucial
consideration in making appropriate allocation determinations.
14. CONTACTS: Indicate media (personal/face-to-face, telephone, correspondence, etc.) purpose, and frequency of
contacts.
15. TOOLS, EQUIPMENT, SOFTWARE, etc.: List any specialized tools, equipment, software, work aides, etc. used
regularly in the performance of duties.
16. SUMMARIZE THE OVERALL PURPOSE AND ROLE OF THIS POSITION IN THE ORGANIZATION: This
should be a general statement or short paragraph summarizing the primary purpose and role (i.e. shift supervisor,
lead worker, accounts payable clerk) and area of responsibility (i.e. program, unit) of the position in the organization
(i.e. division, board).
17a. HAVE YOUR PERMANENT DUTIES CHANGED: Mark “YES” or “NO” (Leave blank if probationary).
17b. IF “YES”HOW AND WHEN DID YOUR PERMANENT DUTIES CHANGE: Proved a brief description of
how your duties have changed, as well as the date the change occurred and the approximate number of months
you have been performing new/changed duties.
18. CHANGE AS A RESULT OF THE REASSIGNMENT OF DUTIES: If applicable, indicate what position was
previously performing these duties.
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19. LIMITED DURATION: If the change is of limited duration indicate how long you anticipate performing the
duties.
22. PROVIDE EXAMPLES OF ERRORS THAT COULD BE MADE BY THIS POSITION AND DESCRIBE THE
IMPACT: Describe the consequence of error related to your position (What is at risk if your job is done
incorrectly or if an error is made? Who/what would be impacted? What might the cost be?)
24. ADDITIONAL INFORMATION AND COMMENTS: Space is provided to explain why it is believed the
position is incorrectly allocated and to detail the new, permanent duties and responsibilities that have been
assigned to the position. If the agency is requesting a new position, leave this section blank. (Additional sheets
may be attached if necessary.)
25. EMPLOYEE’S SIGNATURE: The signature of the incumbent is required to verify all information is accurate to
the best of the employee’s knowledge. If the position is vacant, the agency shall leave this field blank.
The immediate supervisor completes items 26 - 34 to provide their assessment of the position and to confirm that the
information provided by the employee (incumbent) is accurate.
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Ensuring the Position Description Form is completed by verifying all parties have signed in the
designated areas and all sections are complete, where applicable or otherwise noted.
Ensuring the duty statement is written using the incumbent’s or immediate supervisor’s own words and
not copied.
Ensuring the combined percentages of the duties equal exactly 100%.
Ensuring the duty statement is clear and concise, and complies with the duty statement requirements as
detailed in this guide.
Ensuring the information provided is true and accurate.
If the information provided in the PDF is NOT complete, in the incumbent’s/supervisor’s own words, true and
accurate, and/or does not comply with the requirements described in this guide, it is the agency personnel staff’s
responsibility to return the PDF to the appropriate party for correction.
27. ARE THE STATEMENTS OF THE EMPLOYEE ACCURATE AND COMPLETE? The supervisor must answer
accordingly. If the statements are not accurate or complete, the supervisor must indicate and provide accurate
information.
28. IDENTIFY THE ESSENTIAL DUTIES AND RESPONSIBILITIES OF THE POSITION: Summarize the
primary duties and responsibilities assigned to the position. Do not reference information provided for a
previous statement by giving a response such as “See Item 19.”
29. SUMMARIZE THE JOB SKILLS AND ABILITIES NECESSARY TO PERFORM THE ESSENTIAL DUTIES
OF THIS POSITION. The skills and abilities should be listed in reference to the position, not the incumbent.
31a. LIST REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS: This applies to the position.
Answer if applicable.
31b. LIST DESIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS: This applies to the position.
Answer if applicable.
32. SUPERVISION PROVIDED TO THIS POSITION: The supervisor should mark the checkbox that most closely
represents the type of supervision exercised over the position.
33. ADDITIONAL INFORMATION AND COMMENTS: Space is provided for the supervisor to add comments
regarding the information supplied by the incumbent, the duties performed, and/or other related information.
34. SUPERVISOR’S SIGNATURE: The signature of the immediate supervisor is required to verify that all the
information is accurate to the best of the supervisor’s knowledge.
35. PLEASE EXPLAIN WHY YOU BELIEVE THIS POSITION IS OR IS NOT CORRECTLY CLASSIFIED.
The appointing authority should indicate whether they think the position is correctly allocated. If the belief is
that the position needs to be reallocated, an explanation should be provided based on the position’s assigned
duties and responsibilities. The comments should not reflect an employee’s knowledge, skill, or ability.
36. ADDITIONAL INFORMATION AND COMMENTS. Space is provided to add comments regarding the
information supplied by the incumbent or supervisor, the duties performed, and/or other related information.
37. APPOINTING AUTHORITY’S OR DESIGNEE’S SIGNATURE. Please provide at least one signature.
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ITEMS TO BE FILLED IN BY AGENCY PERSONNEL (#1-6):
1. AGENCY NAME: Indicate the department’s name.
AGENCY NUMBER/ORGANIZATIONAL NUMBER/POSITION NUMBER:
This is the complete position number. All 3 elements should be listed in order.
Example: (Agency#) 123 (Org#) 5432 (Pos#) 98765AZ
2. CURRENT UCP TITLE CODE AND LONG DESCRIPTION: Provide the position’s current classification index
number and the complete, non-abbreviated, classified title.
3. LOCATION CODE AND COUNTY NAME: Provide the location code and county name based on the physical
location of the position.
DIVISION/FACILITY NAME: Include both the division name and facility name, if applicable. (Example:
Division of State Parks; Arrow Rock State Historic Site)
UNIT/AREA OF RESPONSIBILITY: Include unit name or other area of responsibility (program, ward, etc.)
4. TYPE OF REVIEW: Mark the appropriate checkbox. If “Special Study” is selected, please provide an
explanation in the following box.
5. DO YOU BELIEVE THIS POSITION IS CORRECTLY ALLOCATED?: Mark the appropriate checkbox. If the
response is “NO,” provide an explanation..
6. IF THERE ARE COMPARABLE POSITIONS PLEASE PROVIDE THE INCUMBENT(S)’ NAME(S) AND
JOB TITLE(S). If there are comparable positions the agency wishes to point to, please indicate in this section.
This item may not be applicable for every position.
If the information provided in the PDF is NOT complete, in the incumbent’s/supervisor’s own words, true and
accurate, and/or does not comply with the requirements described in this guide, it is the agency personnel staff’s
responsibility to return the PDF to the appropriate party for correction. The signature of the Appointing Authority or
other designee is confirming the PDF is properly completed and all information is true and accurate.
When submitting a PDF to the Division of Personnel for review, a cover letter and an organizational chart displaying
the current organization is required. If the Agency is requesting a new position, please identify the position using
the word “proposed.” In addition, if other positions in the organizational structure (above and/or below) may be
impacted by allocation or reallocation of the position under review, updated position descriptions should also be
provided for those positions. Failure to provide such information can result in a delay of the review process.
The Division of Personnel reserves the right to return any PDFs (position reviews) that do not meet the requirements
described in this guide.