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Per 3 Promotion Section - Change in Title

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Created by Ashley Walker (Unlicensed) , last modified on Sept 25, 2017

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#6 Promotion and/or Change in Title to

Put an “X” in the Box in front of the #6
Enter the new title for the level that the House Officer is promoting or changing to (i.e. "House Officer 3").
Effective – enter the effective date of the promotion, it should be the same date as the Transfer effective date in #5

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