SECTION 1 – Agency Information
Agency Name:	Virginia Department of Forestry	Agency Code:	411
Agency Authorized Position Level:	279	Number of Positions Currently Filled:
SECTION 2 – Position Information
Role/Work Title:	Position Number:
Annual Salary and Benefits:	Funding Sources:
Number of Funded Positions in same Function:	Number of Filled Positions in Same Function:
Does this Position Require a Vehicle?	Yes	No
Put an X where appropriate:
Position is:	Full-time
Position is:	Salaried
Position is:	New	Vacant	If vacant, how long vacant?
Position is:	Continuous	If checked, number of positions requested:
Position is:	Direct Service in Public Safety, Patient Care of Public Health
Position is:	Grant Funded	Restricted Yes No	Grant #	Renewal Date:
Why does the position need to be filled?
What alternatives have been considered?
What is the impact if the position is not filled?
SECTION 3 – VDOF Signatures
There are adequate funds in the agency’s budget to pay for both the short- and long-term impact of filling this position.
Supervisor Name (Print)	Supervisor Signature	Date
Faye DiFazio
Budget Analyst Name (Print)	Budget Analyst Signature	Date
Robert W. Farrell
Agency Head Name (Print)	Agency Head Signature	Date
SECTION 4 – Cabinet Secretary Action
Approved as Requested
Approved as Modified
Denied
Secretary Name (Print)	Secretary Signature	Date