STANDARD FORM 59
REQUEST FOR APPROVAL OF NONCOMPETITIVE ACTION
Revised January 1979
Office of Personnel Management
296-33
IMPORTANT: See instructions on reverse and detailed instructions in Subchapters S4 and S5,
Appendix A, FPM Supplement 296-31.
1. Type of Action
(Enter Name, Address, and ZIP Code of OPM Office)
Transfer
Conversion to Career
or Career-Conditional
Position change
Appointment
Reinstatement
Appointment
(Spec. Tenure)
Temporary or Term
Appointment based on
Office of Personnel Management
Excepted Appointment
Reinstatement Eligibility
Detail
Career Appointment
Other (Specify):
Career Conditional
Appointment
2. OPM Regulation or other authority under which
action is requested:
ATTENTION:
3. Is employee now serving under a career or career
conditional appointment:
Yes
No
4. Name (Last, First, M.I.)
5. Total length of service in present grade:
6. Home Address--Complete if employee is to take written test. (Number, Street, City, State, and ZIP Code)
7. Veteran Preference
Yes
No
8. Birth Date (Month, Day, Year)
FROM
TO
9.
A.
Position Title
Pay Plan
Occupational Code
Grade and Salary
B.
Bureau of Office
C.
Duty Station
10. Have requirements other than those for which prior approval is requested been met? (Fill out in ALL cases)
Yes
No
(If “No,” explain in Item 11, below.)
11. Enter (or attach) any supporting statements required by instructions on this form or in FPM Supplement 296-31, Appendix A.
Attach description of duties of proposed position (except where title is descriptive of the duties, such as typist, stenographer, etc.)
12. Reason for Submission (To be checked by agency.)
A.
Prior approval of nominee’s experience and training.
B. (Continued)
B.
Prior approval of action involved:
(4)
A position for which no experience and training standards have
been issued.
(1)
Waiver of Time-After-Competitive-Appointment restriction under OPM Regulation 330.501.
(5)
A person separated for cause.
(2)
Waiver of experience and training requirement.
(6)
Extension of detail beyond 120 days.
(3)
Written test
(7)
Other (Specify):
For Information Call (Name, Telephone No., including Area Code)
(Enter Name, Address, and ZIP Code of Requesting Office)
Authorized Signature
Title
Date Signed
(Month, Day,Year)
SEE OTHER SIDE FOR OPM ACTION ON THIS REQUEST
59-107
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