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KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br /> _ SECTION 1: EMPLOYEE DATA <br /> LAST NAME FIRST NAME EMPLOYEE EFFECTIVE DATE <br /> Connor Korey � 09/11/2023 <br /> SECTION 2: TYPE OF ACTION <br /> EMPLOYEE TYPE - EMPLOYEE ACTION TYPE OF SEPARATION REASON FOR SEPARATION <br /> 700PART-TIME <br /> FULL-TIME(1) ElNEW HIRE [-IDISCHARGE(D) ❑PERFORMANCE(P) <br /> ❑ El(2) RE-HIRE RESIGNATION(Q) ❑ATTENDANCE(A) <br /> LIMITED PART-TIME(3) ❑MERIT/STEP [:1RETIRED(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) ❑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: Updating work schedule for employee based on doctors new requirements for current L&I claim. Employee is allowed to <br /> work 4 hours in the office per day and her new hours will be Monday-Friday,8AM to 12PM, <br /> o ce. 2loc 0330 31. <br /> SECTION 3: POSITION DATA <br /> Enter existing data from CAMAS Wage Data Report - Enter new data <br /> JOB TITLE ACCOUNTING ASSISTANT III ACCOUNTING ASSISTANT III <br /> OCCUPATION CODE/PAY GRADE 3248 /348 3248 /348 <br /> UNION CODE 20 20 <br /> STEP/POSITION 7 7 <br /> FLSA STATUS [j]Non-Exempt ❑Exempt ❑Not Covered <br /> ❑Non-Exempt ❑Exempt El Not Covered <br /> DRS STATUS ❑Ineligible❑■ PIERS ❑LEOFF ❑PSERS❑Other ❑Ineligible Q PERS ❑LEOFF [:1 PSERS❑Other <br /> HIRE DATE 10/28/2013 10/28/13 <br /> ADJ HIRE DATE 10/28/2013 10/28/13 <br /> POSITION DATE 1/1/2020 1/1/2020 <br /> LAST RAISE DATE 1/1/2023 1/1/2023 <br /> BASE WAGE $5,475.00 $5,475.00 <br /> LONGEVITY $70.00 $70 <br /> FTE I]100% ❑80% ❑75% ❑6o% ❑50% 0 l00% ❑80% ❑75% ❑60% ❑50% <br /> FTE WAGE $5,475.00 $5,475.00 <br /> PAYMENT METHOD ❑HOURLY 0 MONTHLY ❑HOURLY El MONTHLY <br /> DEPARTMENT EVENT CENTER EVENT CENTER <br /> BUDGET NUMBER A.001 000000000109151001 %: 100.00 A..0011090151001 %: 100 <br /> B. % B. %: <br /> WORKWEEK 0 Standard ❑ALT/1s`Friday off: ❑207(k) ■❑Standard ❑ALT/1� Friday off: ❑207(k) <br /> COUNTY VEHICLE(For Commuting) ❑Required ❑Optional(taxable) Q N/A ❑Required ❑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) $0.00 $ <br /> STIPEND(Detail in Comments Section) $0.00 $ <br /> OTHER(Detail in Comments Section) $0.00 $ <br /> SECTION 4: SIGNATURES MUST BE SIGNED IN BLUE INK) <br /> NT EAp/E Ell FFICI DAT EtJfl tL DATE <br /> GAG <br /> �HD <br /> SOU E DATE COM2q1j,11 ATE <br /> C 0 ER# DATE #3 DATE <br /> RETURN FORM TO HUMAN REMURCE1 FOR DI IBUTION <br /> U 04/10/ FOR HR USE: ❑NIT Updated ❑ To Payroll-date: ❑ Scan to Dept. <br /> Prepared by:Kady Porterfield on 9/7/2023 3:47:45 PM <br />