Request Extension of Temporary Position

Use this form to request an extension of a temporary position that was originally created for a temporary assignment of less than six months.

Requesting Department Information

Enter the name of the management representative (Appointing Authority, Department Head, Etc.) that has authorized this request.

This is a required question

Enter the name of the requesting department.

This is a required question

Information About the Requestor

This will tell us (Human Resources) who to contact if we have any questions about the request you are submitting.

Your First Name

This is a required question

Your Last Name

This is a required question

Your Pinellas County Email Address

This is a required question

Authorization Agreement: By entering my employee ID/Badge Number below I agree that I have been authorized to submit this request on behalf of my Appointing Authority or their designee.

I Agree

This is a required question

Enter Your Employee ID/Badge Number

This is the number found on the back of your employee ID/Badge.

This is a required question

Position Details

Why has the need for this temporary position exceeded your original need of less than 6 months?

This is a required question

The HR Director (by delegated authority of the Personnel Board) may extend a temporary position for a period up to 6 additional months. How much longer do you anticipate you will need this position?

This is a required question

What is the Position Control Number of the temporary position?

This is a required question

What is the name of the incumbent employee in this position?

This is a required question

On what date did the incumbent start working in this temporary position?

Enter the Hire Date.

Submit Your Request

Special Instructions or Comments (Optional)

Enter any additional information, instructions, or comments for use by Human Resources.

This is a required question

Automatic Response Upon Submittal

When you click on the "Submit" button below your request will be sent to HR. In addition, you will receive an email confirming your request and summarizing the information that you have provided.

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