Assassination Records Review Board
Final Determination Notification
AGENCY :
RECORD NUMBER :
RECORD SERIES
AGENCY FILE NUMBER :
HSCA
180-10068-10334
STAFF PAYROLL RECORDS
December 8, 1995
Status of Document:
Postponed in Part
Number of releases of previously postponed information: 13
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.
Number of Postponements: 9
Postponements: All the postponements in this document represent Social Security numbers.
Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.
Substitute Language: SSN
Date of Next Review: 2017
Board Review Completed: 10/24/95
NW 88326
Docld:32243300 Page 1
Released under the John F. Kennedy Assassination Records Collection Act of 1992 (44 USC)
2107 Notel. Case#: NW 88326 Date: 2025
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date: 08/20/93
Page: 1
AGENCY : HSCA
RECORD NUMBER :
180-10068-10334
RECORDS SERIES
:
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
ORIGINATOR : HSCA
FROM:
TO :
TITLE :
DOCUMENT INFORMATION
DATE: 05/16/77
PAGES : 16
SUBJECTS :
HSCA, ADMINISTRATION
DINNEEN, EILEEN G.
DOCUMENT TYPE :
PRINTED FORM
CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P
DATE OF LAST REVIEW : 07/07/93
OPENING CRITERIA :
COMMENTS :
Box #:1.
'NW 88326
Docld:32243300 Page 2
-
[R] ITEM IS RESTRICTED
LOUIS STOKES, OHIO, CHAIRMAN
RICHARDSON PREYER, N.C.
WALTER E. FAUNTROY, D.C.
YVONNE BRATHWAITE BURKE, CALIF.
CHRISTOPHER J. DODD, CONN.
HAROLD E. FORD, TENN.
FLOYD J. FITHIAN, IND.
SAMUEL L. DEVINE, OHIO
STEWART B. MCKINNEY, CONN.
CHARLES THONE, NEBR.
HAROLD S. SAWYER, MICH.
ROBERT W. EDGAR, PA.
(202) 225-4624
Select Committee on Assassinations
U.S. House of Representatives
3369 HOUSE OFFICE BUILDING, ANNEX 2
WASHINGTON, D.C. 20515
December 21, 1978
Hohorable Frank Thompson, Jr.
Chairman
Committee on House Administration
U.S.House of Representatives
Washington,
C.
Dear Mr. Chairman:
One of the Committee's employees, Eileen G. Dinneen, used her
annual and sick leave in July, 1978 for maternity reasons.
Upon her return work on August 1, 1978, she elected to work
25% of her time at 25% of her previous salary.
On September 1, 1978, the amount was raised in both instances to
50%. And then on December 1, 1978, she returned to full-time status to
assist the Committee on the final report.
1978
While the action on December 1, 1978 was duly approved, through
some error the Committee's budget officer was not informed. Consequently,
no payroll authorization form was processed to increase her salary.
am now enclosing a payroll aothorization form to correct this
error by increasing her alary to the proper amount of $16,100.00.
I would appreciate your approving this new authorization so that
Mrs. Dinneen will receive the additional amount due her in the December,
1978 supplemental payroll.
LS: th
NW 88326
Docid:32243300 Page 3
Cordialy
LOUIS STOKES
Chairman
PAYROLL AUTHORIZATION: FORM
(Please Use Typewriter
or Ballpoint Pen):
DRM
U.S. GOVERNMENT PRINTING OFFICE: 1977-0-93-027
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515.
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Eileen G. Dinneen
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official:)
Effective Date
12-1-78
Type of Action:
☑ Salary Adjustment
Employee Social Security Number
462-88-1832
☐ Appointment
Employing Office or Committee/Subcommittee
Assassinations
☐ Title Change
☐ Termination (At close of business on effective,date)
☐ Leave without pay (Beginning with effective date above and ending
close of business_
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title: Change, complete; appropriate information below.)
Position Title.
Gross Annual Salary*
$16,100.00
* If employee is a civil service annuitant (includes U.S. House of Representatives the gross annual salary shown should include the annuity received by the employee-
plus the salary received from the employing office.
(If Committee Employee,, complete appropriate item below
1.. ☐ Standing Committee: Staff ☐ Clerical or ☑ Professional..
2. ☑Special (Investigative staff of Standing Committee) or Select Committee: Authority -H. Res. 956 of 95th Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number. __
applicable, Level _
Step
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives:
December 21
Date:
78
19_
(If appropriate, signature of Subcommittee Chairman or Ranking: Minority. Member)
(Type or print name. and title of above official)
(Signature of Authorizing Official)
LOUIS STOKES
(Type or print name of Authoring Official):
Chairman
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except: those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only::
. Office Code
NW-88326-
Monthly Annuity $
Docld:32243300 PageRIGINAL
APPROVED:..
Chairman, Committee on House Administration
ID
.00 as of
Benefits
Payroll
(Revised: August 1, 1977)
- To Finance Office (For official personnel folder).
PAYROLL AUTHORIZATION FORM
☐ (Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Eileen G. Dinneen
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
December 1, 1978
Employee Social Security Number
Type of Action:
462-88-1832
☐ Appointment
✓ Salary Adjustment
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
☐ Termination (At close of business on effective date)
☐ Leave without pay (Beginning with effective date above and ending
close of business __
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) ›
Position Title
Gross Annual Salary*
$16,100.00
* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional. ·
2. Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res: 906 of 95th Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number_
If applicable, Level_
Step __
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
December 21
Date_
78
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name and title of above official)
(Signature of Authorizing Official)
LOUIS STOKES.
(Type or print name of Authorizing Official)
Chairman
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget; and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
NW 88326
Office Code ___
APPROVED:..
Chairman, Committee on House Administration
Monthly Annuity $.
.00
as of
Copy for Initiating Office or Committee
Docid:32243300 Page 5
ID
Benefits
Payroll
(Revised: August 1, 1977)
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter.
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Eileen G. Dinneen
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
12/31/78
Type of Action
☐ Salary Adjustment
Employee Social Security Number
☐ Appointment
462-88-1832
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
Termination (At close of business on effective date)
☐ Leave without pay (Beginning with effective date above and ending
close of business ___
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Gross Annual Salary*
* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☐ Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res..
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.).
Position Number:.:
If applicable, Level_
Step __
956
95th
Congress.
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
January 2
Date_
79
19
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member).
(Type or print name and title of above official)
LOUIS STOKES
(Signature of Authorizing Official)
CHAIRMAN
(Type or print name of Authorizing Official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House. Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
APPROVED:
Chairman, Committee on House Administration
Office Code ___
Monthly Annuity. $__
.00 as of
Copy for Initiating Office or Committee
NW 88326
Docid:32243300 Page 6
ID
Benefits
Payroll
(Revised: August 1, 1977)
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Eileen G. Dinneen
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
9/1/78
Type of Action
Salary Adjustment
Employee Social Security Number
462-88-1832
☐ Appointment
Employing Office or Committee/Subcommittee
Assassinations
☐ Title Change
☐ Termination (At close of business on effective date)·
☐ Leave without pay (Beginning with effective date above and ending
close of business_.
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Gross Annual Salary*
$8,000.00
☑* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should-include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.):
1. ☐ Standing Committee: Staff ☐ Clerical or ☐ Professional.
2. ☑ Special (Investigative staff of Standing Committee) or Select Committee: Authority H. Res.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number.
applicable, Level_
_. Step __
956
.95th
of
Congress.
I certify that this authorization is not in violation of 5 U.S.C 3110(b), prohibiting the employment of
relatives.
Deptember 15
Date
78
19
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
✓ (Signature of Authorizing Official)
LOUIS STOKES, CHAIRMEN
(Type or print name of Authorizing Official)
(Type or print name and title of above official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
APPROVED:..
Chairman, Committee on House Administration
Office of Finance use only:
ID
Office Code ______
Monthly Annuity $:
.00
as of
Benefits
Payroll_
(Revised: August 1, 1977)
Copy for Initiating Office or Committee.
NW 88326
Docid:32243300 Page 7
PAYROLL AUTHORIZATION FORM:
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.).
Effective Date
8/1/78
Type of Action
Eileen G. Dinneen
Employee Social Security Number
☐ Appointment
462-88-1832
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations.
Salary Adjustment
☐ Termination (At close of business on effective date)
☐ Leave without pay (Beginning with effective date above and ending
close of business _ _
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Gross Annual Salary*
$4,000.00
* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff ☐ Clerical or ☐ Professional.
2. ☑Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 956 of 95th Congress.
3. ☐ Joint Committee..
(If Employee of an Officer of the House, complete item below.)
Position Number __
If applicable, Level ___
Step
al certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date__
August 10
78
19
(Signature of Authorizing Official).
LOUIS STOKES, CHAIRMAN
(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name of Authorizing Official)
(Type or print name and title of above official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and, for Committee em-..
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration..
Office of Finance use only:
NW 88326
Office Code __
Monthly Annuity $_
Docid:32243300 Page 8
.00
as of
APPROVED:..
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
ID
Benefits
Payroll__
(Revised: August 1, 1977)
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen).
U.S. HOUSE OF REPRESENTATIVE
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Elleen G. Dinneen
Employee Social Security Number
462-88-1832
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
6/1/78
Type of Action
☐ Appointment
☑ Salary Adjustment
☐ Termination (At close of business on effective date)
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
☐ Leave without pay (Beginning with effective date above and ending
close of business_.
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Gross Annual Salary*
$16,100
* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☐ Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res.
3. ☐ Joint Committee:
(If Employee of an Officer of the House, complete item below.)
956 95
_of_ Congress.
Position Number__
If applicable, Level_
_. Step
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
June 7
Date_
78
19
(Signature of Authorizing Official)
LOUIS STOKES, CHAIRMAN
(Type or print name of Authorizing Official)
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name and title of above official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code
Monthly Annuity $
NW 88326
Docid:32243300 Page 9
.00
as
of
APPROVED:
Chairman, Committee on House Administration.
Copy for Initiating Office or Committee
ID
Benefits
Payroll
(Revised: August 1, 1977)
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES
or Ballpoint Pen) =
Washington, D.C. 20515
To the Clerk of the House of Representatives:
al hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
9/1/77
Eileen Copeland
Employee Social Security Number
462 88 1832
Employing Office or Committee
Appointment
☑ Salary Adjustment
Type of Action
Assassinations
Termination (At close of business on effective date).
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Position Title
Researcher
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff ☐ Clerical or ☐ Professional.
465
95th
2. ☑ Special or Select Committee: Authority-H. Res. of ___ Congress.
3. ☐ Joint Committee.
Gross Annual Salary
$15,000
(If Employee of an Officer of the House, complete item below.):
Position Number_ _ If applicable, Level Step
A certify that this authorization is not in violation of 5 U.S.C. 3110(b); prohibiting the employment of
relatives.
Date
September 15
1977
Louis Stokes
(Signature of Authorizing Official)
Chairman
(Type or print name of Authorizing Official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations; the Committee on the Budget; and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
APPROVED:
Chairman, Committee on House Administration"
Office Code..
Monthly Annuity $.
Copy for Initiating Office or Committee
NW 88326
Docld:32243300 Page 10

PAYROLL AUTHORIZATION FORM
(Please Use Typewriter:
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
☐ I hereby authorize the following payroll action:
Employee Name (First-Middle-Last).
Eileen Copeland
Employee Social Security Number
462-88-1832
Employing Office or Committee
Assassinations
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
8/1/77
Type of Action
Appointment
✓ Salary Adjustment
Termination (At close of business on effective date):
(If type of action is an Appointment or Salary Adjustment, complete the following information:):
Secretary
Position Title
Gross Annual Salary:
13,500
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☑ Special or Select Committee: Authority-H. Res. 465 of 95th Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number:
If applicable, Level
Step
I certify that this authorization is not in violation of 5 USC 3110(b), prohibiting the employment of
relatives.
Date_
August 2
19_77
(Signature of Authorizing Official)
LOUIS STOKES
(Type or print name of Authorizing Official)
CHAIRMAN
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee emlé
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees must ha
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code
Monthly Annuity $_
.00
NW 88326
Docld:32243300 Page 11
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee:
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter.
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515.
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last).
-(Any erasures, corrections, or changes.
on this form must be initialed by the
authorizing official.)
Effective Date:
Eileen Gail Copeland
5/16/77
Employee Social Security Number
Type of Action
462 88 1832
Appointment
Employing Office or Committee
Salary Adjustment
Assassinations.
Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Secretary
Position Title:
(If Committee Employee, complete appropriate item below.)
Gross Annual Salary
$11,000
1. Standing Committee: Staff -☐ Clerical or Professional.
2. Special or Select Committee: Authority-H. Res. ____
465 95th
of
Congress.
3. Joint Committee:
(If Employee of an Officer of the House, complete item below.)
Position Number_.
relatives.
If applicable, Level Step_
certify that this authorization is not in violation of 5 USC 3110(b), prohibiting the employment of
Date
May 16
1977
Loufs Stokes
Chairman
(Signature of Authorizing Official)
(Type or print name of Authorizing Official)
(Title If Member, District and.State).
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration..
Office of Finance use only:
Office Code
Monthly Annuity $
.00
NW 88326
Docld:32243300 Page 12
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
with
taken to FO
other 
popers.
EG
5/17.
AUGUST 23,
1977
MEMORANDUM
TO:
Tom Howarth
FROM:
Donovan L. Gay
RE:
Eileen Copeland
NW 88326
Docid:32243300 Page 13
Copeland
Pleaes be advised that effective today's date, August
23, 1977, Eileen G. Copeland is transferred from the
clerical position she currently holds with the
Kennedy Task Force, to a research position with the
Kennedy Research/Document Unit.
Her salary is to be at $15,000 per annum.
Thank you.
↑
September
1.1977
LOUIS STOKES, OHIO, CHAIRMAN
RICHARDSON PREYER, N.C.
WALTER E. FAUNTROY, D.C.
YVONNE BRATHWAITE BURKE, CALIF.
CHRISTOPHER J. DODD, CONN.
HAROLD E. FORD, TENN.
FLOYD J. FITHIAN, IND.
SAMUEL L. DEVINE, OHIO
JOHN B. ANDERSON, ILL.
STEWART B. MCKINNEY, CONN.
CHARLES THONE, NEBR.
ROBERT W. EDGAR, PA.
(202) 225-4624
Select Committee on Assassinations
U.S. House of Representatives
3342 HOUSE OFFICE BUILDING, ANNEX 2
WASHINGTON. D.C. 20515
MEMORANDUM
TOM LAMBETH
ROBERT K. TANENBAUM
TO:
FROM:
DATE:
RE:
May 27, 1977
SECRETARY FOR JFK TASK FORCE
On May 26, 1977, Ken Klein, Cliff Fenton
and I interviewed Ilene Copeland.
This memorandum is to formally request that
she be assigned as a secretary to the Kennedy Task
Force as of Tuesday, May 31, 1977.
NW 88326
Docid:32243300 Page 14
OKN
MEMORANDUM
TO: ALL STAFF
RE: Payroll Certification
The Regulations and Accounting Procedures for Allowances and
Expenses of Committees, Members and Employees of the U.S. House of
Representatives require that, among other things, the Committee's
monthly payroll certification include the relationship, if any, of
each employee to any current Member of Congress. This certification
is signed monthly by our Chairman.
The following are the relationships to be included in the
certification:
father
mother
son
nephew
niece
brother-in-law
sister-in-law
daughter
brother
sister
uncle
aunt
first cousin
husband
stepfather
wife
stepmother
father-in-law
stepbrother
mother-in-law
stepsister
half-brother
half-sister
son-in-law
daughter-in-law
Please complete the appropriate portion below, sign and date
this form, which will then become a part of your permanent personnel
file. If this status changes, you must notify the Committee's Budget
Office immediately of the change.
*
I am not related to any current (95th Congress) Member of Congress.
I am related to a current (95th Congress) Member of Congress.
(Please specify.)
Eileen Copeland
5/26/77
Signature of Employee
Date
NW 88326
Docid:32243300 Page 15