Nyc Careers Comprehensive Document Form – Fill Out and Use This PDF

I.INSTRUCTIONS FOR COMPLETING THE CPD(B)

A.OVERVIEW

All applicants for employment with the City of New York, including former City employees with a break in service of more than one year, are subject to investigation to determine whether they meet the qualifications for their positions. The first step in your investigation is the completion of the Comprehensive Personnel Document (CPD-B) for New Hires.

If you are being hired from a jurisdiction not participating in the TPF system (e.g., CUNY, OTB, Libraries, HHC, School Construction Authority, Department of Education unclassified title), you are treated as a new hire, and as with all new hires, a CPD(B), fingerprints and fingerprint fees are required. An applicant hired from the New York City Police Department (uniform or non-uniform) will be required to complete a CPD(B) but will not generally be fingerprinted.

In completing the CPD(B), all questions must be answered completely and accurately. Type or print clearly in black ink in the boxes provided. Where dates are required, use zeroes with one digit numbers (e.g., 02/01/2004). If you have additional comments or your answer requires additional space, request supplementary Data Sheets and/or use the Comments Page. If, when completing the CPD(B), you use supplementary Data Sheets, ensure that they are stapled to the appropriate section of the CPD(B). Clearly label your "Comments" to indicate Section and Page Number.

If you are selected for appointment or promotion from a civil service list, you have the right to request that your investigation be completed before appointment. However, you should be aware that such a request may delay your appointment. If you wish to be investigated before appointment, inform your personnel officer before completing the CPD(B).

Claims for Veteran's or Disabled Veteran's Preference credits on list appointments/promotions are reviewed by DCAS.

Applicants for trades licenses may be required to complete the CPD(B) as the first step in the investigation to determine their fitness and qualifications.

You must initial each page of the CPD(B). Additionally, you must sign and date the Affirmation and the Authorization for Release of Information.

Your appointment to the job for which you are applying depends upon your full cooperation in this investigation. A false statement or intentional omission of any material fact may cause you to be disqualified, even following your appointment or licensure, and may lead to prosecution. It is your responsibility to make sure that all the information you provide on the CPD(B) and other related documents is complete and accurate.

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B.COMPLETING EACH SECTION OF THE CPD(B)

1.Basic Information (Page 1)

If you have had a change in name, you should provide documents to confirm legal name change. These documents may include, but are not limited to, your marriage certificate, divorce decree, passport, Naturalization Certificate, Resident Alien Card, court order or other legal name change document for confirmation. Such document may be provided as one of the documents you have designated on your I-9 form.

If your social security number has changed, list the number, state the effective dates and provide evidence of the change. You may be required to provide a written justification for the change in Social Security number, and such a change is subject to investigation.

2.Miscellaneous Questions (Page 2)

There are 17 Miscellaneous Questions which require a YES or NO answer. For Questions 12-17, if you answer YES, you must provide complete details, specifying date, agency, reason, disposition, etc. on the Comments Page (p 18.)

Question 1 – Eligibility to Work

All applicants must be legally authorized to work in the United States. Proof of such eligibility is to be provided by completing the I-9 form and providing such support documents as you have designated on that form.

All New Hires must complete the I-9 and provide the support documents they have designated on that form.

For Updates, if you have previously completed an I-9 which is in your TPF, and you have no changes to your employability status, you are not required to complete a new I-9. If there has been a change in your employability status, the appropriate section of the I-9 must be completed and documentation must be provided. For applicants employed on the basis of a work permit, any change in position requires a new work permit. (See Employment Eligibility Verification [I-9] on Page 14 of these Guidelines.)

Question 2 – Citizenship

Citizenship is not a requirement for employment with the City of New York unless it is specifically required in the notice of examination or job specification for a given position. However, all applicants must provide evidence of employability in the United States.

If the position requires U.S. citizenship, you must provide one of the following documents: U.S. birth certificate, U.S. baptismal certificate (only acceptable if

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baptized within six months of birth), U.S. passport, U.S. Certificate of Citizenship or Certificate of Naturalization, etc. Such document may be provided as one of the documents you have designated on your I-9 Form. (See Employment Eligibility Verification [I-9] on Page 14 of these Guidelines.)

Question 3 – Current City Employee/Break One Year or Less

If you have answered YES stating that you are a current City employee or are a former employee with a break in service of one year or less, you should complete the UPD(B)/Data Sheets rather than the CPD(B). The one exception is where there is not a fully completed PHQ or CPD(B) in your personnel file, in which case you must complete the CPD(B). You must complete the CPD(B) if you are a New Hire who has not previously been employed by NYC or you are a former NYC employee with a break in service of more than one year.

Question 4 – Former City Agency/Separation Date

If you answered YES that you have been previously employed by NYC, your TPF should be requested from your former agency by a personnel officer from your new agency.

Question 5 – Dual Employment

Before answering this question regarding dual employment, you must read Section III-B, “Dual Employment”, Pages 22-23 of these Guidelines. If you are requesting dual employment, you will be required to complete Form DP-1021A.

Question 6 – Approval to Hire Retiree

If you are a retiree from any retirement system administered by New York State or any of its political subdivisions (e.g., state, county, or municipality), your pension may be affected by accepting this job. If you answered YES to CPD(B) Question 6, Form DP-68 must be submitted by the agency to DCAS for approval. (See Approval to Hire Retiree [DP-68], Page 15 of these Guidelines.)

Question 7 – Leave of Absence

If you are requesting a leave of absence from your permanent civil service list title, approval must be granted by your agency and DCAS.

Questions 8 & 9 – Veteran's Preference

If you are being appointed or promoted from a list and are claiming veteran's preference credits or rescinding a claim made at your exam, you will need to

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complete either DP-152 or DP-153. (See Veteran's Preference Claims, Pages 8, 9 & 15 of these Guidelines.)

Questions 10, 11 & 12 – Residency

Before answering these questions regarding residency, you must read Section III-A, “NYC Residency Requirements”, Pages 17-22 of these Guidelines. Employees of the City of New York are required to meet NYC Residency Requirements. You will affirm adherence to the NYC residency requirements by signing the CPD(B) Affirmation. There are no additional Residency Data Sheets or forms to be completed.

•If you are a New York City resident, you must answer YES (Y) to Question 10 and provide satisfactory proof of current residence (e.g., utility bills, bank statements, credit card statements, etc.) if such proof does not already exist in your TPF.

•If you are a nonresident of New York City who is required to move into New York City, you must answer YES (Y) to Question 11.

•If you are a nonresident who is not required to move into New York City, you must answer YES (Y) to Question 12. If you received a Residency Waiver for this position, it should be placed in your TPF by your personnel officer.

NOTE: Nonresidents of NYC are required to comply with the NYC Charter §1127 regarding City nonresident personal income tax. You must read and sign form DP-2028A , “Agreement under §1127 of the New York City Charter (r.1/94)”.

If you are a nonresident of New York City, you must complete the City of New York Certificate of Nonresidence-City Withholding (Form IT-2104.2).

If you are a nonresident of New York State, you should complete the State of New York Certificate of Nonresidence - State Withholding (Form IT-2104.1), particularly if you do not work 100% of your time in New York State.

Questions 13 through 17 - Employment Background

If you answer YES, you should provide complete details specifying date, agency, reason disposition, etc., as applicable, on the Comments Page (p. 18)

3. Conviction Record (Page 3)

You must ensure that you carefully read Questions III-A, B and C and the definitions of criminal convictions, pending charges and arrests.

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