Sf400Adm Form PDF Details

Are you familiar with the Sf400Adm form? Even if you’re not, it’s essential that you understand what this form is and how it can affect your business operations. The Sf400Adm form is an administrative document that companies must use to collect records of labor organizations engaged in collective bargaining activities. In this blog post, we will explain why businesses should use the Sf400Adm form as well as important do's and dont's when filling out the required information. So, if you want to make sure all of your company paperwork is properly taken care of and maintained accordingly, read on!

QuestionAnswer
Form NameSf400Adm Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesohio sf400 form, ohio sf400 pdf form, sf400 notice of peace officer appointment, ohio ag peace officer appointment form

Form Preview Example

OHIO PEACE OFFICER

TRAINING COMMISSION

NOTICE OF PEACE OFFICER APPOINTMENT/TERMINATION (mark appropriate box)

Appointment

Appointment Status Change (e.g., reserve to full/parttime)

Termination

Correction to Record - highlight correction(s)

Personal Information Disclosure Statement - Pursuant to the Federal Privacy Act (Public Law 93-579), notice is hereby given for the request of personal information. The Oh io Peace Officer Training Commission and Academy require personal information for the purpose of accurately recording training, agency/s chool affiliation, and testing information. Your Social Security Number will not be disclosed to individuals or agencies except in accordance with state and federal law and policy of the Ohio Peace Officer Training Commission and the Office of the Attorney General of the State of Ohio. Failure to provide any of the requested information may result in an incomplete training record and certain services may be delayed.

INSTRUCTIONS

Completion of this Notice form is required within 10 days of appointment or termination for all peace officers as defined in ORC 109.71(A).

Use this Notice to report new appointments, appointment status changes, corrections (including name changes), and terminations.

Sections A, B, and E must be completed, then complete Section C and pages 2 and 3 or Section D as appropriate.

Please type or legibly print (in ink) all required information.

Mail or fax this Notice to OPOTC at the below address within 10 days of such actions, as required by Ohio Revised Code 109.761.

A. OFFICER INFORMATION

1.

SOCIAL SECURITY NUMBER

2.

NAME (Last)

(First)

(Middle)

 

 

3. BIRTHDATE (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

4.

GENDER

 

5.

ALIAS (Last)

(First)

(Middle)

 

 

6. HOME PHONE NUMBER

 

Male

Female

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

7. DRIVER’S LICENSE #

8.

HOME STREET/MAILING ADDRESS (#/Street/PO Box)

(City)

(County Name)

(State)

(Zip Code)

 

 

 

 

 

 

 

 

 

 

 

B. AGENCY INFORMATION

9. AGENCY NAME

10. APPOINTING AUTHORITY’S NAME & TITLE

 

11. AGENCY PHONE NUMBER

 

 

 

 

(

)

12. AGENCY STREET/MAILING ADDRESS (#/Street/PO Box)

(City)

(County Name)

(State)

(Zip Code)

C. APPOINTMENT INFORMATION

13.

APPOINTMENT DATE (mm/dd/yyyy)

14. CURRENT RANK

15.

TITLE/ POSITION

16. ORC SECTION

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

 

APPOINTMENT STATUS (mark appropriate box)

18.

APPOINTEE’S FIRST PEACE OFFICER APPOINTMENT?

 

 

 

Full Time

 

Part Time

 

Auxiliary

 

 

yes

(Complete all of page 2)

 

 

 

 

Reserve

 

Special

 

 

 

 

 

no

(Complete pages 2 and 3 – an update evaluation will occur)

 

 

 

 

 

 

 

 

 

D. TERMINATION INFORMATION

19. TERMINATION DATE (mm/dd/yyyy)

20. REASON FOR TERMINATION (mark appropriate box)

Resigned

 

Discharged

 

Retired

 

Deceased

 

 

 

 

 

 

 

Felony Conviction

 

Other

 

 

 

E. ATTESTATION OF REPORTING OFFICIAL

I attest that the information provided on this form is true and correct and is based on my personal knowledge or inquiry. The personnel records of this agency substantiate the information on this form.

SIGNATURE OF REPORTING OFFICIAL

NAME & TITLE OF REPORTING OFFICIAL (Typed or Printed Legibly)

DATE

 

 

 

SF400adm

Effective 2/20/2002; Revised 12/20/2004

Page 1 of 3

P.O. BOX 309/LONDON, OHIO 43140 PHONE: (740) 845-2700/(800) 346-7682 FAX: (740) 845-2675