Jefferson County, NY · Jefferson County
Promotion Examination Application
Jefferson County employees use this application to apply for a promotion examination and provide their qualifying job and service details.
At a glance
- Issued by
- City of Jefferson County · Jefferson County, Jefferson County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- jeffersoncountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application is for county employees seeking a promotion examination. It asks for contact information, the examination name, department or agency, qualifying permanent job title and service dates, and any veterans’ credits claimed. The applicant also affirms that the statements on the application and attached papers are true under penalties of perjury.
Who needs it
County employees seeking a promotion examination should complete the application with their qualifying job title, service dates, and other requested information.
How to submit it
Submit it to the county Department of Human Resources named on the form; check the county website for current contact details.
About notarization
This application is signed without a notary; the applicant signs and dates an affirmation that statements are true under penalties of perjury.
How to submit this form
- 1
Download the Application
Download the Promotion Examination Application PDF.
- 2
Complete the Application
Type or print your contact information, examination details, qualifying job title, and dates of qualifying service.
- 3
Review and Sign
Complete the affirmation, sign and date the application, and provide any other surname by which you are or have been known.
- 4
Submit to the County
Submit the application to the county Department of Human Resources; check the county website for current contact details.
Frequently asked questions
- Do I need a notary for the Promotion Examination Application?
- No. The applicant signs and dates the affirmation under penalties of perjury; the form does not require a notary.
- How do I submit the Promotion Examination Application?
- Submit it to the county Department of Human Resources named on the form. Check the county website for current contact details.
- What information does the application ask for?
- It asks for contact details, the examination name, department or agency, qualifying permanent job title and service dates, and any veterans’ credits claimed.