Chapter 3 – Personnel, Training, and Employee Relations

31060.9.3.3 Individual Service Request Process

• Revised July 27, 2021

  • The Individual Service Request, CDCRCalifornia Department of Corrections and Rehabilitation Form 1923, shall be signed by one of the following: the IPOInstitutional Personnel Officer; Business Manager; Associate Warden, Business Services; Chief Deputy Warden; Warden; Parole Administrator; Regional Parole Administrator; Assistant Deputy Director; Regional Administrator; Assistant Director; Deputy Director or designee. The signed CDCRCalifornia Department of Corrections and Rehabilitation Form 1923 shall be submitted to the Selection Center closest to the applicant’s residence, Attn: Testing Unit Manager.

  • The following shall be included with the signed CDCRCalifornia Department of Corrections and Rehabilitation Form 1923:

    • State Examination/Employment Application (STDStandard Form (DGS) 678).

    • Copy of applicant’s driver’s license.

  • Upon notification by the OPOS Background Investigation Unit, applicants shall be required to submit the following items as instructed in the notification:

    • Completed Personal History Statement questionnaire.

    • Notarized “Authorization for Release of Information” agreement.

    • Certified birth certificate or original naturalization certificate or approved USCIS Application for Certificate of Citizenship.

    • Copy of marriage certificates or divorce decrees.

    • Sealed and certified high school and college transcripts.  Transcripts may be submitted via electronic mail directly from the educational facility, school district office, or by use of a secure transcript service.

    • Copy of Proof of Valid Auto Insurance.

    • Copy of Certificate of Release or Discharge from Active Duty (DD Form) 214 (Member 4 – Long Form).

  • The Chief, OPOS, or designee, will notify the hiring authority by memorandum as to whether the clearance for hire is granted or withheld.

  • If the hiring authority disagrees with the Chief, OPOS, the decision may be appealed to the Deputy Director, Peace Officer Selection and Employee Development (POSEDPeace Officer Selection and Development). The hiring authority shall document the appeal in writing and submit it to the
    Deputy Director, POSEDPeace Officer Selection and Development, for consideration and forward a copy of the appeal to the
    Chief, OPOS.  The Deputy Director, POSEDPeace Officer Selection and Development shall make a determination and forward copies of the decision to the submitting hiring authority and the Chief, OPOS.