REQUEST FOR PERSONNEL ACTION
Originator: CIA
Document date: 09/15/1964
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

104-10256-10300

2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

SECRET

(When Filled In)

10830/

DATE PREPARED

REQUEST FOR PERSÓNNEL ACTION

15 September 1964

SERIAL NUMBER

2. NAME (Last-First-Middle)

025798

3.

NATURE OF

PERSONNEL

ACTION

WILCOTT, James Bernard, JI.

4. EFFECTIVE DATE REQUESTED 5. CATEGORY OF EMPLOYMENT

MONTH

DAY

YEAR

Reassignment & Ilansfer to Vouchered Funds

V TO Y

V. TO CF

6. FUNDS

9.

CF TO V

ORGANIZATIONAL DESIGNATIONS

CF TO CF

Regular

7. COST CENTER NO. CHARGE•.

ABLE

B: LEGAL AUTHORITY (Completed by

Office of Personnel)

5241-0003

10. LOCATION OF

OFFICIAL STATION

DDS

QFFICE OF FINANCE

Confidential Funde Division

Times

Compensation and Iaz Accounts Branch

Contract Agents Accounts Section

POSITION TITLE

kid: F570205

suicida

Washington, D. C.

12.

POSITION NUMBER

13. CAREER SERVICE DESIGNATION

Finance Assistant

14. CLASSIFICATION SCHEDULE (GS, LB, etc.)

15. OCCUPATIONAL SERIES

16. GRADE AND STEP

17.

SALARY OR RATE

GS

0510.26

:=00.0

714

6650.

18.

REMARKS

From:

13-3

TE/Tokto)

Date 21 SEP 1964

CONCUR:

Securih?

*! has been granted for

the use

FE/Persomel Chiel. Personnel Security Division

ICC

sec

• Payroll 0/

FOrIE W-4 an.

IBA. SIGNATURE OF REQUESTING OFFICIAL

DATE SIGNED

SE GNATURE OF CAREER SERVICE APERONING

= OFFiCER

DATE SIGNED

Acting Chief, CT Divislon

Adm. •Officer-O/Finance

SPACE BELOW FOR EXCLUSIVE USE

OF THE OFFICE OF PERSONNEL

19. ACTION 20. EMPLOY.

CODE

CODE

21.

OFFICE CODING

22. STATION

CODE

23. INTEGREE

24. NDOTRS/ 25. DATE OF BIRTH

26. DATE OF GRADE

CODE

CODE

NUMERIC

28. NIE EXPIRES

ню.

DA.

29, SPECIAL

30.

RETIREMENT DATA

REFERENCE

YR.

CSC

CODE

- FICA

HOwt

35. VET.

PREFERENCE

36. SERV.

COMP.

DATE

37. LONG.

COMP. DATE

CODE

• 1012

10.

DA.

YR.

но.

DA.

YR.

- 5 рт.

10 PT.

PREVIOUS

COVERAMENT SERVICE DATA

41.

CODE

42. LEAVE CAT.

CODE

- NO PREVIOUS SERVICE

- MO BREAK IN SERVICE

- BREAK IN SERVICE (LESS THAN 3 YRS)

3 - BREAK IN SERVICE (MORE THAN 3 YRS)

A5. POSITION CONTROL CERTIFICATION

ALECILAS.

Lot

PREVIOUS

1152л.

EDI

'lar

27. DATE OF LEI

мо.

DA.

YR.

мо.

DA.

rA.

но.

DA.

TR.

31, SEPARATION: 32. CORRECTION/CANCELLATION DATA

DATA CODE

TYPE

мо.

DA.

rR.

33. SECURITY

:34, SEX

REO, NO.

EOD DATA

38. CAREER CATEGORY

CAR/RESV

CODE

PROV/TEMP

39.

CODE

FEGLT / HEALTH INSURANCE

- WAIVER

HEALTH INS.. CODE

1 - YES.

NO. SOCIAL SECURITY NO.

43.

FORM EXECUTED CODE

1 - YES

2 - NO

FEDERAL

TAX DATA

NO. TAX EXEMPTIONS

4t.

FORM EXECUTED

- YES

2

-

NO

STATE TAX DATA

CODE

NO. TAXISTATE CODE

EXEMP-

46. O.P. APPROVAL

Go Sa 2851-10

DATE APPROVED

FORM

4.62

1152

OBSOLETE

AND

FORM

SECRET

4/361

GROUP

DED FROM CLASSIE DONNGRADING

(4)

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## Page 2

125

RESIGN EFFECTIVE

(Date)

::И 000106Ґ 429- 1 1:12:94

-----

te i mind

..?

il?

SEGRET

• (When Filled In)

EMPLOYEE NOTICE OF RESIGNATION

FOR THE FOLLOWING REASON:

SEP 28 SET 38 A11O gT AM '64

MAIL ROMAIL ROOM

MY LAST WORKING DAY WILL BE •

DATE SIGNED

SIGNATURE OF EMPLOYEE

FORMARD COMMUNICATIONS. INCLUDING SALARY CHECKS AND:

BONDS.

TO

THE FOLLOWING ADDRESS (Number

zon

St

ate)

INSTRUCTIONS

Items 1 thru 7.

_-- and

Items 9 thru 18a

The initiating office should fill in each of the referenced Items.

Items. 3 thru-7 and 9 thru 18 require Information which pertains only

to the action requested, and NOT to the current status al the fler:

ployee unless specific Items remain unchanged...

TITI! T1

-- Item-5-

"Category of Employment" should show one of the following entries.

…"'

Regular

Summer

WAE

Part Time.

Detail Out

Consultant

Temporary

Detail In

Military

Temporary. - Part Time:

Item 9

"Organizational Designations" should show all levels.of organization

pertinent to identifying the location of the positions.

Major Component (Director, Deputy Director, etc.)

Office, Major Staff

372C0CS

raa Division or Staff (subordinate to first line)

Branch.

Section

Unit

1÷= 10000.

..:.

?...

*g "Position Title" should reflect the standard abbreviated title given

In the most current edition of the Position Control Register or re-

ported on Form 261, Staffing Complement Change Authorization.

Item 18b--

Signature should be that of the official authorized to approve for

the Career. Service to which the employee belongs. If more than one

Career Service is involved, the gaining Career Service should approve

3. 1

"su.= and the other-Career Service should concur in Item 18, Remarks.

ROUTING - The original only of this form will be forwarded to the Office of Personnel

-through the appropriate Career Service official(s). In the case of requests

specified "in HB 20-800-1, which require advance approval of or notification to

the Office of. Security or the Office of the Comptroller, one copy only will be

sent to the Office(s) concerned.

SECRET:

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