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Requests for Eligibility List Restoration

Per the PRC’s Administrative Rules, candidates may be removed from a classified eligibility list for one of the following reasons:

1. At the request of the eligible candidate;
2. After declining a conditional offer for the position;
3. After three certifications or considerations without receiving a conditional offer;
4. Failure to pass a pre-employment background check and/or drug or alcohol screen;
5. Failure to appear for an interview;
6. Inability to contact the candidate via the contact information on file with the Commission;
7. Practice or attempt to practice any deception in their application or in securing eligibility or appointment; or
8. Any just or reasonable cause that is job-related and non-discriminatory.

If we notify you that your name is being removed from an eligibility list and you believe this is in error, you may request eligibility list restoration. Please read all the information below, then complete and submit the Request for Eligibility List Restoration form via one of the methods listed at the bottom of this page.

Deadline and Instructions

• You must complete the form within five (5) calendar days after receiving your original notification of eligibility list removal. We will only consider requests using the proper form and submitted by the deadline.
• On your form, you must explain why you think you should not have been removed from the eligibility list. If you have supporting documentation or other evidence to support your claim, you should submit it along with the form.
• The PRC will review your submission and make a final decision. We will email you the results of that decision. Please note that restoration to the eligibility list is within the sole discretion of the PRC.

Submitting Your Request

Click here to download a PDF of the Request for Eligibility List Restoration form. This is a fillable PDF form that you can complete and save on your computer. Make sure you complete the form you downloaded to your computer and save it before sending. DO NOT fill out the PDF in your web browser, as it will not save the information and you’ll accidentally send us a blank PDF. You can also print the form and write in the information. Once you complete the form, you can submit it along with your supporting documentation by one of the following methods:

• Via email to PRCEmploymentTesting@cuyahogacounty.us. This is the preferred method to submit your form and documentation.
• Via fax at (216) 443-3694.
• In person or via U.S. mail to 9830 Lorain Avenue, Cleveland, OH 44102. Please note: if you mail your form and documentation, the PRC must receive it by the deadline. We will not consider requests postmarked on or before the deadline but received after it.

If you can’t download or complete the form, you can submit your request through the web form at the bottom of this page. However, this web form does not support uploading any files, so you won’t be able to attach your supporting documentation. If you choose to use the web form and have any supporting documentation you’d like to include, you must submit it using one of the above methods (via email, fax, in person, or U.S. mail). We will not consider supporting documentation submitted after the deadline when reviewing your request.

Requests for Eligibility List Restoration

Name:
 
Email:
 
Phone Number:
 
Position:
 
Department:
 
Date List was Established:
 
Date of Removal Notification:
 
Please indicate the stated reason that you were removed from the eligibility list:
After declining a conditional offer for the position
After three certifications or considerations without receiving a conditional offer
Any just or reasonable cause that is job-related and non-discriminatory (indicate the stated reason in the space below)
At the request of the eligible candidate
Failure to appear for an interview
Failure to pass a pre-employment background check and/or drug or alcohol screen
Inability to contact the candidate via the contact information on file with the Commission
Practice or attempt to practice any deception in his or her application or in securing eligibility or appointment 
Please indicate the stated reason:

Please indicate why you feel the stated reason for your removal is in error, and provide evidence to support your claim:
 


Candidate Acknowledgement
By signing, entering, typing, or otherwise providing my name below, I acknowledge that I must submit this request for restoration to the Personnel Review Commission (PRC) no later than the above-stated deadline. I attest that the above statements and supporting evidence are truthful and accurate. Furthermore, I acknowledge that if it is determined that I have attempted to deceive the PRC or any other examiner by making statements or submitting evidence that are untrue or fraudulent, I shall be prohibited from taking any examination for the purpose of employment with Cuyahoga County for a period of two (2) years. I acknowledge that if I am a current Cuyahoga County employee and have been determined to have deceived the PRC and/or any other examiner in any way, my conduct shall be grounds for disciplinary action.

(See Cuyahoga County Code Section 303.03(D).)

Candidate:
 
Date:
 

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