Reassignment Questionnaire

ℹ️ About This Questionnaire

This questionnaire is used when reassignment to a vacant position is being considered as a reasonable accommodation. The search process occurs in two phases:

Initial 30-Day Search: Positions within your current bureau
Extended 30-Day Search: Positions in other bureaus (if needed)

Employee Information

Employee Name *

Email Address

Phone Number

Date of Discussion *

Current Position Information

Current Bureau/Office *

Current Location (City, State) *

Initial 30-Day Search Questions

Question 1

Are you interested in an equivalent position in your current bureau and geographic area?

Yes No

Question 2

Are you interested in an equivalent position in your current bureau but in a different geographic area?

Yes No

Question 3

Would you accept a non-equivalent position (lower grade/different series) in your current bureau and area?

Yes No

Under what conditions?

Question 4

Would you accept a non-equivalent position in your current bureau but different geographic area?

Yes No

Under what conditions?

Extended 30-Day Search Questions

Question 5

Are you interested in an equivalent position in a different bureau but in your current area?

Yes No

Question 6

Are you interested in an equivalent position in a different bureau and different area?

Yes No

Geographic Areas to Exclude (if any)

Cancel

ℹ️ About This Questionnaire

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

📋 HIPAA Consent & Authorization

Questionnaire Submitted