
TX PERS 497 2010 free printable template
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Texas Department of Criminal Justice EEO COMPLAINT FORM Complainant Information (Person Complaining) Name: SSN: Last First MI Title: Unit/Dept: Work Shift: Schedule Card: Home Mailing Address: Home/Cell
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How to fill out TX PERS 497

How to fill out TX PERS 497
01
Obtain the TX PERS 497 form from the appropriate agency website or office.
02
Fill in the required personal information at the top of the form, including your full name, address, and contact details.
03
Review the list of categories and select the one that best describes your situation.
04
Provide any additional supporting documentation as required by the form instructions.
05
Double-check all entries for accuracy and completeness.
06
Sign and date the form at the designated area.
07
Submit the completed form either by mail or in person, as specified in the instructions.
Who needs TX PERS 497?
01
Individuals who are applying for benefits under the Texas Public Employee Retirement System.
02
Employees or former employees of Texas state agencies, higher education institutions, or certain local government entities.
03
Beneficiaries of individuals who have passed away and were entitled to PERS benefits.
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People Also Ask about
What does G1 mean in TDCJ?
The principal custody designations for Institutional offenders are General Population Level 1 (G1), General Population Level 2 (G2), General Population Level 3 (G3), General Population Level 4 (G4), General Population Level 5 (G5) and maximum (administrative segregation) custody.
What is the TDCJ policy on discrimination?
The TDCJ has a zero tolerance for all forms of employment discrimination in the disciplinary process. Retaliation for opposing or reporting employment discrimination is prohibited.
How many times can you quit TDCJ?
5 answers. The minimum of times we can return to work is 2 times.
What is the TDCJ employee code of conduct?
It is the responsibility of each employee to adhere to the TDCJ Code of Ethical Conduct. I shall: Maintain the highest standards of honesty, integrity, and impartiality. Uphold all federal, state, and local laws, and adhere to TDCJ policies, procedures, rules, and regulations.
What is the TDCJ use of force plan?
The use of force to intimidate, coerce, punish, or for the purpose of revenge is prohibited. Violations of the TDCJ Use of Force Plan shall be charged as a Rule Number 24 or 25 violation. In addition, the Aggravated Use of Excessive Force Provision may be applicable, included herein after Rule Number 25.
What is the TDCJ policy on harassment?
In order to prevent sexual harassment, TDCJ also prohibits any discourteous conduct of a sexual nature that a reasonable person would find offensive, or which is known to be unwelcome to the person against whom it is directed. Retaliation is also prohibited.
What is a Level 1 violation of the TDCJ?
Discrimination or Harassment Against Persons of a Protected Class or Retaliation - Violation Level 1: Discrimination or harassment based on race, color, religion, sex (gender), including sexual harassment, national origin, age (40 or above), disability, or genetic information is prohibited.
What is the TDCJ personnel directive 22 policy?
An employee shall not harass or retaliate against another individual in any form or for any reason. 22a. Harassing or Retaliating Against Another Individual - Violation Level 2: Includes all forms of harassment or retaliation not prohibited by Rule Number 21 or 22b.
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What is tdcj pers 497?
TDCJ Pers 497 is a personnel action form used by the Texas Department of Criminal Justice (TDCJ). It is used for various personnel-related matters, such as employee transfers, promotions, changes in position, or any other significant changes in an employee's status within the department. The form is typically used to document and initiate the necessary administrative processes associated with these personnel actions.
Who is required to file tdcj pers 497?
The TDCJ Pers 497 form is typically required to be filed by employees or individuals who are seeking employment with the Texas Department of Criminal Justice (TDCJ). This form is used for conducting a criminal history background check on the applicant.
How to fill out tdcj pers 497?
To fill out the TDCJ Pers 497 form, follow these steps:
1. Download the form: You can download the TDCJ Pers 497 form from the official Texas Department of Criminal Justice (TDCJ) website. Ensure that you have a copy of the latest version of the form.
2. Provide personal information: Fill out the required personal information fields on the form. This may include your full name, date of birth, social security number, and contact information. Ensure that the information provided is accurate and up to date.
3. Specify position and unit information: Indicate the position you are applying for and the TDCJ unit where the position is located. Provide any relevant details, such as the unit name, TDCJ unit number, and the position's job code.
4. Work experience: Enter information about your work experience, starting with your most recent job. Include details such as the name of the employer, job title, dates of employment, and a description of your responsibilities. If you have multiple work experiences, provide the necessary information for all of them.
5. Education and training: Fill in the educational qualifications and training you have received. Include details such as the name of the institution, degree or certification obtained, and the year of completion. List all relevant education and training, starting with the most recent.
6. References: Provide the names and contact information of individuals who can provide references for your application. Ensure that you have obtained their permission before including their details.
7. Criminal history: If applicable, provide information about any criminal history you may have. This includes charges, convictions, and any related details. Be honest and provide all necessary information.
8. Signature: Sign and date the form to confirm that all the information provided is accurate and complete.
9. Review the form: Before submitting the form, review it carefully to ensure that all required fields are filled out accurately. Check for any errors or missing information, and make any necessary corrections.
10. Submit the form: After completing the form and reviewing it, submit it according to the instructions provided. This may involve mailing the form to the appropriate TDCJ office or submitting it electronically through an online portal, if available.
It is important to note that the instructions provided here are meant to serve as a general guideline. It is recommended to refer to the official TDCJ website or consult with the appropriate TDCJ personnel for any specific guidance or updates regarding the TDCJ Pers 497 form.
What is the purpose of tdcj pers 497?
TDCJ Pers 497 is a form used by the Texas Department of Criminal Justice (TDCJ) for documenting and evaluating an employee's performance during a specified period of time. The purpose of this form is to assess an employee's job performance, identify strengths and areas for improvement, and provide feedback for employee development and future job assignments. It is typically used as part of TDCJ's performance appraisal system to ensure consistent and fair evaluations of employees.
What information must be reported on tdcj pers 497?
The information that must be reported on TDCJ Pers 497 (also known as the Employee's Statement of Injury or Illness) may include the following:
1. Employee personal information: Name, Employee Identification Number (EIN), address, date of birth, contact information, and job title/position.
2. Date and time of the injury or illness: The exact date and time when the injury or illness occurred should be specified.
3. Description of the injury or illness: A detailed description of the nature of the injury or illness, including affected body parts or systems, symptoms, and severity. If applicable, include information about any prior injuries or illnesses in the same area.
4. Location of the incident: Specify the exact location (unit, building, etc.) where the injury or illness occurred, including any additional details about the surroundings or conditions.
5. Witnesses: If there were any witnesses to the incident, provide their names, contact information, and any statements or observations they provided.
6. Medical treatment received: Record the medical treatment that the employee has received for the injury or illness, including any medications, procedures, or therapies. Include a list of any medical professionals or healthcare facilities involved.
7. Supervisor notification: Indicate whether the supervisor or immediate superior has been notified and provide the date and time of the notification.
8. Incident report: If an incident report was completed, provide the number or reference information of that report.
9. Return-to-work status: Specify the current status of the employee in terms of their ability to return to work, including any restrictions or limitations specified by the medical professional.
10. Employee's signature and date: The employee should sign and date the form to confirm the accuracy and completeness of the provided information.
The exact requirements or additional details may vary depending on the specific policies and procedures of TDCJ (Texas Department of Criminal Justice). It is advisable to consult the official guidelines or contact TDCJ's Human Resources or Occupational Health department for the most accurate information.
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What is TX PERS 497?
TX PERS 497 is a form used by Texas public employers to report information about employee participation in public retirement systems.
Who is required to file TX PERS 497?
Employers participating in the Texas Public Employees Retirement System (PERS) are required to file TX PERS 497 for their employees.
How to fill out TX PERS 497?
To fill out TX PERS 497, employers must provide accurate employee information such as names, social security numbers, and service details as specified in the form's instructions.
What is the purpose of TX PERS 497?
The purpose of TX PERS 497 is to ensure compliance with state laws regarding retirement benefits and to facilitate the accurate reporting of employee service records.
What information must be reported on TX PERS 497?
TX PERS 497 must report information including employee demographics, hours worked, salary details, and dates of employment.
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