Official SealSan Joaquin County Human Resources Division


#0724-RO1100-01
Supplemental Questionnaire

Last Name
First Name
 

This position requires three years of clerical work with primary responsibility for contacting debtors to obtain payments, two years of which have included gathering information regarding financial assets of individuals, establishing payment plans and maintaining related records.

In the space provided below, identify the name of employer, job title, dates of employment, and description of duties you performed to meet this requirement.