Last updated: 9/25/2025
Appeal Request Form {SCSC-4112}
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Description
SCSC-4112 -- APPEAL REQUEST FORM. This form is used by individuals (referred to as appellants) to file an appeal with the Pennsylvania State Civil Service Commission. The form allows employees or job seekers to challenge employment-related actions or decisions that they believe are unjust or discriminatory, particularly under Act 71 of 2018 (Civil Service Reform). This form is utilized in situations such as: • Appealing disciplinary actions like removal, suspension, demotion, or forced resignation. • Claiming discrimination based on factors such as race, gender, political affiliation, disability, or other non-merit factors. • Challenging other personnel actions such as furloughs, compensation changes, or denial of veterans' preference. Appellants must specify the action being appealed, provide evidence for their claims, and outline the remedy they are seeking, such as reinstatement or modification of the decision. It must be submitted within 20 calendar days of learning about the action or violation they are appealing. www.FormsWorkflow.com
