Apd 19 Form – Fill Out and Use This PDF

The APD-19 form, officially known as the Request for Applicant's Employment Record PD 407-163 (Rev. 2-09), is a document utilized mainly by the New York City Police Department. It facilitates the process of obtaining an applicant's employment history as part of the character and record investigation for potential positions within the department. By giving written consent, applicants authorize past employers to release their employment records to the investigating officer, ensuring a thorough review of their qualifications and background.

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Apd 19 Form PDF Details

The APD-19 form plays a crucial role in the hiring process for positions within the Police Department of the City of New York, serving as a vital tool for gathering comprehensive employment history information of applicants. This form is designed to thoroughly investigate the character and professional background of candidates to ensure that only individuals of the highest caliber are considered for roles that demand integrity and reliability. Employers are requested to fill out the form, providing detailed insights into the applicant’s employment timeline, ranging from periods of employment, titles or duties, to more nuanced inquiries such as whether the applicant is deemed "eligible for rehire". Additionally, the form seeks to understand the nature of the applicant's departure, whether it was voluntary or involuntary, alongside assessing attributes like honesty, sobriety, and the ability to follow orders through specific questions. This comprehensive approach underscores the importance of transparency and thoroughness in the selection process, highlighting the Police Department’s commitment to appointing competent persons of good character. By requiring a signature of consent from the applicant, the form also ensures a legal and ethical approach to obtaining and handling this sensitive information. The prompt response and cooperation of former employers are highly valued and considered confidential, illustrating the collaborative effort between various entities to maintain high standards within the Police Department.

Question	Answer
Form Name	Apd 19 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	nypd apd forms, nypd apd 5, cas 19 nypd, cas 20 nypd

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REQUEST FOR APPLICANT’S		APD-19
EMPLOYMENT RECORD
PD 407-163 (Rev. 2-09)

		Date

THIS IS AN INQUIRY CONCERNING:

Exam No.___________ List No._________

Name

Address

Employed By You As

From

Social Security No.

Date Of Birth

I hereby give my written consent and request and authorize you to turn over any and all employment records relating to my employment.

I acknowledge by this authorization that I release you from any obligation or liability in the disclosure of the contents of such files and the professional observations or opinions contained therein.

I further request that such records be forwarded to the Police Department Investigator, named below.

Applicant’s Signature

Social Security Number

The above named person is an applicant for the position of ______________________________

in the Police Department of the City of New York and states that he/she was employed by you in the capacity and for the period(s) shown above.

I have been assigned by the Police Commissioner to investigate the character and record of this applicant in order to determine his/her eligibility for the position.

You can assist this department in its effort to appoint competent persons of good character

if you will furnish the information requested on the reverse side of this letter. All information will be treated as confidential.

Your cooperation and prompt reply will be greatly appreciated.

Rank/Name

Squad No.

E-mail Address

NAME OF FIRM OR AGENCY

TYPE OF BUSINESS OR FUNCTION OF AGENCY

DATE

EMPLOYED

FROM TO

PART TIME

FULL TIME

TITLE OR DUTY

AVERAGE

WEEKLY SALARY

SOCIAL SECURITY NO.

IF NOT PRESENTLY EMPLOYED BY YOU, INDICATE MANNER OF LEAVING YOUR EMPLOY

(Check One)

RESIGNED VOLUNTARILY (State reason given.)__________________________________________________

REQUESTED TO RESIGN (State reason.)_______________________________________________________

DISCHARGED	Please	_______________________________________________________________
	specify
LAID OFF	} reason	________________________________________________________________
OTHER	} reason	________________________________________________________________

CANDIDATE’S EMPLOYMENT RECORD (Check yes or no. If you desire to elaborate, do so in “details.”)

Honest	Yes	Amenable	Yes	Excessively	Yes	Was He	Yes
	No	To Orders	No	Late	No	Ever	No
						Disciplined
Sober	Yes	Able To Get	Yes	Excessively	Yes	Injured or	Yes
	No	Along With	No	Absent	No	Given First	No
		Others				Aid
IS SUBJECT CONSIDERED			Yes	WOULD YOU PREFER A PERSONAL			Yes
“ELIGIBLE FOR REHIRE”?			No	INTERVIEW TO DISCUSS THE CANDIDATE?			No

DETAILS OR ADDITIONAL COMMENT:

RESIDENCE

ADDRESSES WHILE

IN YOUR EMPLOY

NAMES AND

ADDRESS

OF PREVIOUS

EMPLOYERS

SIGNATURE

TITLE OF YOUR POSITION

YOUR BUSINESS TELEPHONE NO.

REQUEST FOR APPLICANT’S EMPLOYMENT RECORD

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2. Once the first part is done, go to type in the suitable details in all these: I further request that such, named below, Applicants Signature, Social Security Number, The above named person is an, I have been assigned by the Police, this applicant in order to, You can assist this department in, if you will furnish the, Your cooperation and prompt reply, RankName, Squad No, and Email Address.

3. The following part is about NAME OF FIRM OR AGENCY, TYPE OF BUSINESS OR FUNCTION OF, DATE, EMPLOYED, FROM, PART TIME, FULL TIME, TITLE OR DUTY, WEEKLY SALARY, SOCIAL SECURITY NO, AVERAGE, IF NOT PRESENTLY EMPLOYED BY YOU, Check One, cid RESIGNED VOLUNTARILY State, and cid REQUESTED TO RESIGN State - type in every one of these empty form fields.

WEEKLY SALARY, cid RESIGNED VOLUNTARILY State, and DATE inside cas 19

4. The subsequent section will require your details in the subsequent places: cid OTHER, reason, CANDIDATES EMPLOYMENT RECORD Check, Honest, Sober, cid Yes cid No, Amenable To Orders, cid Yes cid No, Able To Get Along With Others, cid Yes cid No, cid Yes cid No, Excessively Late, cid Yes cid No, Excessively Absent, and cid Yes cid No. Always fill in all requested info to go onward.

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5. To wrap up your form, this particular section has a number of additional blank fields. Completing RESIDENCE, ADDRESSES WHILE, IN YOUR EMPLOY, NAMES AND, ADDRESS, OF PREVIOUS, EMPLOYERS, SIGNATURE, TITLE OF YOUR POSITION, YOUR BUSINESS TELEPHONE NO, and REQUEST FOR APPLICANTS EMPLOYMENT will certainly wrap up everything and you will be done before you know it!

YOUR BUSINESS TELEPHONE NO, ADDRESSES WHILE, and OF PREVIOUS inside cas 19

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Apd 19 Form – Fill Out and Use This PDF

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