Apd 19 Form PDF Details

In order to receive the Apd 19 form, you first need to fill out the Apd 18 form. The Apd 18 form is available on the IRS website and can be filled out electronically. Once you have submitted the Apd 18 form, you will receive a confirmation number. You will need this confirmation number in order to submit the Apd 19 form. The Apd 19 form is also available on the IRS website and can be filled out electronically. Be sure to include your confirmation number from the Apd 18 form when submitting the Apd 19 form. If you have any questions, please call the IRS at 1-800-829-1040. Thank you for your cooperation!

QuestionAnswer
Form NameApd 19 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnypd apd forms, nypd apd 5, cas 19 nypd, cas 20 nypd

Form Preview Example

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

To

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

OR

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

________________________________________________________________

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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Stage # 1 for completing cas 19

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.

Filling in section 2 of cas 19

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

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