Form 12-B

Supplementary Personnel Record: Surname · 1974 Form

Issued eleven times · Returned once · Completed zero times · Surname: in progress since 2004

Reproduced below: the 2004 issuance, the only copy of Form 12-B the Circulation Manager has ever returned. It came back the same day it was issued, which Human Resources initially logged as promising. Completion of the form is not among the duties enumerated in the position description, a position the margin annotation states plainly and the intervening twenty-two years have not disturbed.

Form 12-B · Supplementary Personnel Record · Issue of 9 August 2004

1. Given name, as it appears on Form 12-A

Jon

2. Surname

3. Middle initial(s)

4. Suffix, if any

5. Prior surnames, if any

6. Signature of employee

7. Date

Completion of this form is not among the duties enumerated in my position description. -Jon.

Annotation, left margin, ink. The period after the given name is original.

Status: Returned · Not Completed · Logged as Promising (2004)

Record of Issuance

9 August 2004	By hand, at hire	Returned same day. Every field blank except Given Name. Margin annotated; see above.
12 June 2006	Interoffice envelope	Not returned.
3 March 2008	Interoffice envelope	Not returned.
17 September 2010	Certified interoffice envelope	Envelope returned. Form not in it.
5 April 2012	Left on the loading dock	Weighted down with a horseshoe. Otherwise undisturbed.
22 January 2014	By hand, with coffee	Coffee accepted.
8 November 2016	Attached to the payroll notice	Payroll notice acknowledged in writing. Form not mentioned.
14 May 2018	Interoffice envelope, marked URGENT	Not returned. The word URGENT does not appear in the position description.
2 October 2020	Electronic (PDF)	The Circulation Manager does not maintain an electronic address. Delivery could not be confirmed.
14 February 2022	In person, during Role-Scope Alignment No. 9	Meeting adjourned 10:02. Form remained on the table.
6 January 2026	Interoffice envelope	Not returned. Registrar was seen carrying an interoffice envelope at Fairplay. Contents unverified.

THE FORM REMAINS AVAILABLE FROM HUMAN RESOURCES · HUMAN RESOURCES REMAINS AVAILABLE TO RECEIVE IT