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KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br /> _ SECTION 1: EMPLOYEE DATA <br /> LAST NAME FIRST NAMEPLOYEE# EFFECTIVE DATE <br /> r <br /> Egan Tim E2779 12/10/2019 <br /> SECTION 2: TYPE OF ACTION <br /> EMPLOYEE TYPE EMPLOYEE ACTION TYPE OF SEPARATION --F—REASON EASON FOR SEPARATION <br /> Q FULL-TIME(1) ❑NEW HIRE ❑DISCHARGE(D) ❑PERFORMANCE(P) <br /> ❑PART-TIME(2) ❑RE-HIRE Q RESIGNATION(Q) ❑ATTENDANCE(A) <br /> ❑LIMITED PART-TIME(3) ❑MERIT/STEP E RETIRED(R) ❑CONDUCT(C) <br /> ❑TEMPORARY(4) ❑POSITION CHANGE(Describe Below) ❑LAID OFF(L) ❑OTHER EMPLOYMENT(E) <br /> ❑CASUAL(5) ❑BUDGET CHANGE(Describe Below) ❑FAIL PROBATION(P) PERSONAL(L) <br /> ❑SEASONAL(6) ❑LEAVE(List Type Below) E OTHER(0) ❑OTHER(0) <br /> ❑PROJECT(7) TERMINATION(Provide Separation Info) <br /> ❑WORK STUDY(8) ❑OTHER(Describe Below) Eligible For Rehire ❑Ineligible For Rehire <br /> ❑VOLUNTEER(9) Provide Details of Separation Below <br /> COMMENTS: <br /> SECTION 3: POSITION DATA <br /> Enter exfsting.data from CAMAS Wage Data Report Enter new data <br /> JOB TITLE FACILITIES MAINT DIRECTOR <br /> OCCUPATION CODE/PAY GRADE 1308 /108 <br /> UNION CODE 30 <br /> STEP/POSITION 5 <br /> FLSA STATUS ❑Non-Exempt [j]Exempt ❑Not Covered ❑Non-Exempt F1 Exempt ❑Not Covered <br /> DRS STATUS ❑Ineligible E PERS ❑LEOFF ❑PSERS❑Other ❑Ineligible E PERS E LEOFF ❑PSERS❑Other <br /> HIRE DATE 6/9/2017 <br /> ADJ H IRE DATE 6/20/2017 <br /> POSITION DATE 7/10/2018 <br /> LAST RAISE DATE 1/1/2019 <br /> BASE WAGE $7,321.00 $0.00 <br /> LONGEVITY $0.00 $ <br /> FTE ❑100% ❑80% ❑75% ❑60% ❑50% ❑100% [180% ❑75% ❑60% ❑50% <br /> FTE WAGE $7,321.00 <br /> $ <br /> PAYMENT METHOD ❑HOURLY MONTHLY ❑HOURLY ❑� MONTHLY <br /> DEPARTMENT MAINTENANCE <br /> BUDGET NUMBER A.001 000000010970151029 %: 100.00 A. %: <br /> B. 001 000000000250051001 is 100.00 B. %: <br /> WORKWEEK Il Standard ❑ALTAA Friday off: ❑207(k) 0 Standard ❑ALT/1"Friday off: ❑207(k) <br /> COUNTY VEHICLE(W,,Commuting) ❑ Required ❑Optional(taxable) ❑e N/A ❑fri: Ored❑Optional(taxable) ❑N/A <br /> To continue any allowance,stipend,or other,it must be listed in both columns for audit purposes or the amount will default to`0", <br /> ALLOWANCE(Detail in Comments Section) $0,06 $❑.0Q <br /> STIPEND(Detail in Comments Section) $0.06 $o.00 <br /> OTHER(Detail in Comments Section) $0,00 $0,00 <br /> SECTION 4: SIGNATURES MUST BE SIGNET]IN BLUE INK) <br /> DEPARTMENT HEAD/ELECTED OFFICIAL DATE BUDGETS A. <br /> p TE <br /> HUMAN RESOURCE DATE COMMISSIO p TE <br /> C MI10 R 2 DATE COM TE <br /> SENT %Z <br /> RETURN FORM TO HUMAN RESOURCES FOR TSTR U CON <br /> Updated: 04/10/17 FOR HR USE: ❑NT Updated ❑ To Payroll–date: ❑ Scan to Dept. <br /> Prepared by:Lisa Young on 12/10/2019 5:18:19 PM <br />