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Cayuga County Department of Human Resources and Civil Service Commission County Office Building, 2nd Floor 160 Genesee Street Auburn, NY 13021 Phone: (315) 253-1284 Email: [EMAIL REDACTED] Website: cayugacounty.us/civilservice Fax: (315) 253-1084 An Equal Opportunity Employer DECLINATION LETTER DATE Dear : APPOINTING OFFICER I am declining the PERMANENT / CONTINGENT PERMANENT / TEMPORARY (Circle One) JOB TITLE position in APPOINTING JURISDICTION Thank you for considering me for this appointment. Please check one box: I understand my name will still be on the Eligible List and I will still be canvassed for any future vacancies until the Eligible List expires. I am no longer interested in any appointment from this list; please make my name inactive on the Eligible List for this title. Should I decide that I would like to be considered for an appointment to this title; I can write to the Civil Service Commission to reactivate my name for the life of this Eligible List. Cordially, Candidate’s Signature Print Candidate’s Name Z:\civil\cert_el\Declination Letter 2014