LEAD WORKER IDENTIFICATION FORM INSTRUCTIONS PLEASE USE THIS FORM

 F OREIGN WORKER RECRUITMENT ANY PERSON WHO ASSISTS
 NETWORKERS AND THEIR ACTIVITY IN INTENSIONAL NETWORKS
  WORKERS’ COMPENSATION DIVISION WORKER’S AND HEALTH CARE

 WORKER’S AND PHYSICIAN’S REPORT FOR WORKERS’ COMPENSATION CLAIM
JOB DESCRIPTION JOB TITLE WAKING NIGHT WORKER
LOCUM FEMALE DEDICATED SELFHARM SUPPORT WORKER CONTRACT MATERNITY

LEAD WORKER IDENTIFICATION FORM

LEAD WORKER IDENTIFICATION FORM



Instructions: Please use this form to identify all lead workers in your division/unit. Going forward, please use this form to notify Human Resources and Equal Opportunity of any additions or deletions to keep the database current. Please complete all of the requested information and return this form to HR&EO. If you need additional space, please copy page two of the form. Thank you for your cooperation.



Division or Department Date

Contact Person Extension



 Add Delete

Name of Lead Worker Extension Classification Department

Manager of Lead Worker

Employee’s (name and working title) assigned to Lead Worker:



 Add Delete

Name of Lead Worker Extension Classification Department

Manager of Lead Worker

Employee’s (name and working title) assigned to Lead Worker:






 Add Delete

Name of Lead Worker Extension Classification Department

Manager of Lead Worker

Employee’s (name and working title) assigned to Lead Worker:



 Add Delete

Name of Lead Worker Extension Classification Department

Manager of Lead Worker

Employee’s (name and working title) assigned to Lead Worker:




 Add Delete

Name of Lead Worker Extension Classification Department

Manager of Lead Worker

Employee’s (name and working title) assigned to Lead Worker:


(If you need more space, please make additional copies of this page, attach to cover page and number accordingly).


2


! MODIFICATION HISTORY ! WORKERDOWNLOADFORMSJSP ! VERSION
05-OCFS-LCM-02%20SFY%202004-2005%20Worker%20Recruitment%20and%20Retention%20Foster%20Care%20Block%20Grant%20Allocation%20of%209%20Million%20Dollars
10 ATTITUDES OF SUCCESSFUL WORKERS BY KATE LORENZ CAREERBUILDERCOM


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