REQUEST FOR PERSONNEL ACTION -- JAMES P. O'CONNELL.
Originator: CIA
Document date: 05/23/1962
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

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104-10123-10286

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

DATE PREPARED

REQUEST FOR PERSONNEL ACTION

23 lay I262

FILE

1. SERLAL HONDER

20773

2. NAME (Last-First-Middle)

3.

NATURE OF PERSONNEL ACTION

TO Y

V TO CF

A. EFFECTIVE DATE REQUESTED!

5. CATEGORY OF EMPLOYMENT

MONTH

DAY

YEAR

1 27

Ife

7. COST CENTER NO. CHARGE.

6. FUNDS

Begular

8. LEGAL AUTHORITY (Completed by

Office of Personnel)

CF TO V

9. ORGANIZATIONAL DESIGNATIONS

13-26

CF TO CF

2237-7000-336

10. LOCATION OF OFFICIAL STATION

Dininistrative Sootion

11, POSITION TITLE

13-26

(kiteust, dopen)

12.

POSITION NUMBER

19. CAREER SERVICE DESIGNATION

BocurIty 0182005

88-25

3169

1A. CLASSIFICATION SCHEDULE (GS, LB, etc.)

15. OCCUPATIONAL SERIES

16.

GRADE AND STEP

17. SALARY OR RATE

1810000

25

3

' 24,330

18. REMARKS

Date f. 1 JUN 1502

PION: 1D5/08/II INTEST-OSET DER/83 DET/0C/0570

Security Approval has been giänjed for

259's Embrittad Do fastoRi Stars

subjact to depart ofa 8 dare 296e

the use con emped blus request

03 Chief, Personnel Security DivigionK

ANY CUBAtIONs ANgUiTe ER/EE/310-XUR 55211

BoBo 82630701

or alotting yupones caly Antil slote transferred to licinin

Loasted 87(0111953)

subfast to be physically

13-17

13-17

ICO - PIPERSE DiV.

18A. SIGNATURE OF REQUESTING OFFICIAL

DATE SIGNED

18B.

SIGNATURE OF CAREER SERVICE APPROVING DATE SIGNED

OFFICER

19. ACTION 20, EMPLOY. 21.

COOE

CODE

28-MTE EXPIRES

то.

DA.

YR.

AGPE/PerS

SPACE BELOW

FOR EXCLUSIVE USE

OF THE OFFICE OF. PERSONNEL

OFFICE CODING

22. STATION

MUMERIC

COOE

23. LEGREE

24. MDOTRS/ 25. DATE OF BIRTH

26. DATE OF GRADE

ARPHABETIC

но.

DA.

Ya.

но.

DA.

ra.

29, SPECIAL

REFERENCE

30.

RETIREMENT DATA

1 - CSC

CODE

31. SEPA 000) 32. CORRECT 10M/ CANCELLATION DATA

3 = HOCK

27. DATE OF LEI

то.

YR.

33. SECURITY

136, SEX

RED. HO.

35, VET. PREFERENCE 36. SERV. COMP.

37. LOMG. COMP, DATE

38 MIL. SERK CREDIT/LCD

1-12.

EOD DATA

FEGLI / HEALTH INSURANCE

" - VAIVER

HEALTH INS, CODF

- TES

NO. SOCIAL SECURITY MO.

- 5 pr.

PREVIOUS GOVERNMENT SERVICE DATA

CODE

O - NO PREVIOUS SERVICE

- NO BREAK IM SERVICE

2: BREAK IM SERVICE (LORE THAM 12 MOS!

- BREAK IN SERVICE (MORE TMAN 12 MOS)

AS. POSITION CONTROL CERTIFICATION

A2. LEAVE CAT.

CODE

43.

FEDERAL TAI DATA

FORS EXECUTEO CODE

NO, TAX EXEMPTIONS

FORM EXECUTED

1 - YES

1 - Yes

2 - 0о

2 - 4о

STATE TAX DATA

¡CODE

MO TAX STATE CODE

ExEMP.

46. O.P. APPROVAL

DATE APPROVED

FORM 1152 USE

в. 61

PREvIOUS

EDITION.

SECRET.

(4)

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14.00000

' RESAGN EFFECTIVE

(ahen Filled In,

EMPLOYEE NOTICE OF RESIGNATION

FOR THE FOLLOWING REASON:

(Dose)

1| 05 AM '62

MAlI. ROOM

MY LAST WORKING DAY WILL DE:

DATE SIGNED

SIGNATURE OF EMPLOYEE

FORMARD COMMUNICATIONS, INCLUDING SALARY CHECKS AND BONDS, TO THE FOLLOWING ADDRESS (Number, Street, City, zone, State)

Items 1 thru 7

and

-

Items 9 thru 18al

Item 5

Item 9

INSTRUCTIONS

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 of the an?

ployee unless specific items remain unchanged.

- "Category of Employment" should show one of the following entrjes:

Regular

Summer

Part Time

Detail Out

WAE

Consultant®

Temporary

Detail In

Temporary - Part Time

Military

- "Organizational Designations" should show all levels of organizetion

pertinent to identifying the location of the position:

...'

i Major Component (Director, Deputy Director, ete.)

Office, Major Staff,

Division or Staff (subordinate to first line)

Branch

Section

Unit

Item 11 - "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

and the other Career Service should concur in Item 18, Remarks.

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

SECRET

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