Ad 332 Form PDF Details

Form Ad 332 is an application form used to apply for administrative leave with pay. This form is used by federal employees to request a leave of absence for reasons that are not covered by the Family and Medical Leave Act (FMLA). The Ad 332 form must be completed and submitted to the employee's supervisor or human resources department for approval. There are specific criteria that must be met in order for an employee to be eligible for administrative leave with pay, so it is important to understand the guidelines before completing this form.

QuestionAnswer
Form NameAd 332 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesposition description form, dt rev act pdf, ad 332 2, ad 332

Form Preview Example

REASON FOR THIS POSITION

 

POSITION DESCRIPTION

1. NEW

2. IDENTICAL/ADD'L TO EST. PD

NUMB. 3. NEW PD NUMBER

4. REPLACES PD NUMBER

 

 

 

 

 

 

 

 

COVER SHEET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POSITION INFORMATION

5. OFFICIAL TITLE

6. WORKING TITLE (When Applicable)

 

8.

9.

 

INTERDISC SERIES

10.

11.

 

12.

 

13.

 

 

14.

 

PP

SERIES

 

 

 

FUNC

GRADE

 

 

DATE

 

 

 

STANDARDIZED (I/A)

CLASSIFIER

 

 

 

 

 

 

 

 

 

MONTH

 

DAY

 

YEAR

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

ORGANIZATIONAL STRUCTURE

(Agency/Bureau)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st

 

 

 

 

 

 

5th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd

 

 

 

 

 

 

6th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd

 

 

 

 

 

 

7th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4th

 

 

 

 

 

 

8th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUPERVISOR'S CERTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that this is an accurate statement of the major duties and responsibilities of the position and its organizational relationships and that the position is necessary to carry out Government functions for which I am responsible. This certification is made with the knowledge that this information is to be used for statutory purposes relating to appointment

 

 

and payment of public funds and that false or misleading statements may constitute violations of such

statute or their implementing regulations.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. SUPERVISOR'S SIGNATURE

 

 

17. DATE

 

19. SECOND LEVEL SUPERVISOR'S SIGNATURE

 

20. DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18. SUPERVISOR'S NAME AND TITLE

 

 

 

 

 

 

21. SECOND LEVEL SUPERVISOR'S NAME AND TITLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FACTOR EVALUATION SYSTEM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FACTOR

 

22. FLD

 

23. POINTS

 

 

FACTOR

 

 

22. FLD

 

23. POINTS

1.

Knowledge Required

 

 

 

 

 

 

6.

Personal Contacts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Supervisory Controls

 

 

 

 

 

 

7.

Purpose of Contacts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Guidelines

 

 

 

 

 

 

8.

Physical Demands

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Complexity

 

 

 

 

 

 

9.

Work Environment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24. TOTAL POINTS

24.

 

5.

Scope and Effect

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25. GRADE

25.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLASSIFICATION CERTIFICATION

I certify that this position has been classified as required by Title 5, US Code, in conformance with standards published by the OPM or, if no published standard applies directly, consistently with the most applicable published standards.

26. SIGNATURE

27. DATE

28. NAME AND TITLE

29OPM CERTIFICATION NUMBER

30. REMARKS

FORM AD-332

MASTER RECORD/INDIVIDUAL POSITION DATA

A. KEY DATA

1. FUNCTION (1)

A/C/D/I/R

2. DEPT. CD./AGCY-BUR-CD.

3.POI (4)

4. MR. NO. (6)

5. GRADE (2)

6. IP NO. (8)

B. MASTER RECORD

1. PAY

2. OCC.

3. OCC. FUNC. CD. (2)

PLAN (2)

SER. (4)

 

 

 

 

4. PREFIX (1) OFF. TITLE CD (4)

SUFFIX (1)

5. OFF. TITLE

6. HQ. FLD. CD. (1)

7. SUP. CD. (1)

 

 

8. CLASS. STD. CD. (1)

X = New Std. Apply Blank = NA

9. INTERDIS. CD. (1)

10.DT. CLASS (6)

MO DAY

YEAR

11. EARLY RET. CD. (1)

12. INACT / ACT (1)

13.DT. ABOL. (6)

MO DAY

YEAR

14.DT. INACT / REACT (6)

MO DAY YEAR

15. AGCY. USE (10)

16.INTERDIS. SER./INTERDIS. TITLE CD.

C.INDIVIDUAL POSITION

 

1. FLSA CD. (1)

 

 

2. FIN. DIS. REQ.

NFC

Proc Integ

3. APPT SCHEDULE

 

4. POSITION SENSITIVITY:

 

 

SECURITY CLEARANCE:

NFC CODE: (3)

 

 

 

 

 

 

 

CODE (1):

Posn

 

A,B,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Blank = N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C, or D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAY TABLE (4)

 

 

5. COMP. LEV. (4)

CYBER SECURITY (9)

 

 

COMPUTER ADP CODE (1)

DRUG TESTING CODE (1)

 

 

 

 

 

 

 

 

 

 

1st

 

 

2nd

 

3rd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. WK. TITLE CD. (4)

7. WK. TITLE (38)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. ORG. STR. CD. (18)

1st

2nd

 

 

3rd

4th

5th

6th

7th

8th

9. VAC. REV. CD. (1)

TELEWORK (1)

10. TARGET GD.

11. LANG. REQ.

12. PROJ. DTY.

(2)

(3)

IND.

(1)

Blank =

 

 

 

 

 

 

N/A

 

 

 

Y = Yes

 

 

 

 

13. DUTY STATION (9)

State (2)

City (4)

 

 

County (3)

14. BUS. CD (4). 15. DT. LST. AUDIT (6)

 

MO

DAY

YEAR

16. PAS. IND. (1)

Blank = N/A 1 = PAS

17.DATE EST. (6)

MO DAY

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18. GD. BASIS. IND. (1)

 

 

 

 

 

 

 

 

19. DT. REQ. REC.

(6)

20. NTE. DT. (6)

 

21. POS. ST. BUD (1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MON

DAY

YEAR

MON

 

DAY

 

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23. DT. EMP. ASGN. (6)

 

24. DT. ABOL. (6)

 

25. INACT / ACT (1)

26.

DT. INACT / REACT (6)

27. ACCTG. STAT. (4)

MO

 

DAY

YEAR

 

MO

DAY

YEAR

 

 

 

 

 

 

MO

 

DAY

 

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. MAINT. REV. / CLASS. ACT. CD. (2)

USE MENUS BELOW

Class Review

Class Action

28. INT. ASGN. SER. (4)

29. AGCY. USE (8)

30. SIGNATURE

31. DATE

D. REMARKS

E. EMPOWHR CODES

Job Code:

Position Number:

Staffing Number:

Department Code:

Reports to PN#

Remarks:

FORM AD-332 Oct 2020)

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position description form completion process clarified (portion 1)

2. The third stage would be to fill in these fields: SUPERVISORS CERTIFICATION I, SECOND LEVEL SUPERVISORS SIGNATURE, DATE, DATE, SUPERVISORS NAME AND TITLE, SECOND LEVEL SUPERVISORS NAME AND, FACTOR EVALUATION SYSTEM FACTOR, FLD, POINTS, FACTOR, FLD, POINTS, Knowledge Required, Supervisory Controls, and Guidelines.

Filling out part 2 in position description form

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How one can prepare position description form portion 4

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