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KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />Updated: 04/08/11 FOR HR USE: - NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Lawrence <br />FIRST NAME EMPLOYEE # <br />Lisa B1041x/2013 <br />EFFECTIVE DATE <br />EMPLOYEE TYPE <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE ACTION TYPE OF SEPARATION REASON FOR SEPARATION <br />Li FULL-TIME (1) <br />❑ PART-TIME (2) <br />❑ LIMITED PART-TIME (3) <br />❑ TEMPORARY (4) <br />❑ CASUAL (5) <br />❑ SEASONAL (6) <br />❑ PROJECT (7) <br />❑ WORK STUDY (8) <br />❑ VOLUNTEER (9) <br />U NEW HIRE ❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ RE -HIRE ❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />MERIT/ STEP ❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ POSITION CHANGE (Describe Below) ❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ BUDGET CHANGE (Describe Below) ❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ LEAVE (List Type Below) ❑ OTHER (0) ❑ OTHER (0) <br />❑ TERMINATION (Provide Separation Info) <br />❑ OTHER (Describe Below) ❑ Eligible For Rehire ❑ Ineligible For Rehire <br />Provide Details of Separation Below <br />COMMENTS: New wage scale adjust to midrange On new Scale <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />ASSISTANT DIRECTOR <br />OCCUPATION CODE <br />3387 <br />UNION CODE <br />30 <br />PAY GRADE <br />387 <br />STEP / POSITION <br />6 <br />FLSA STATUS <br />❑ Non -Exempt [F] Exempt ❑ Not Covered <br />❑ Non -Exempt 0 Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible S PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible Q PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />5/6/1997 <br />ADJ HIRE DATE <br />9/9/1997 <br />POSITION DATE <br />11/6/2006 <br />LAST RAISE DATE <br />1/1/2013 <br />BASE WAGE <br />$4,687.00 <br />$5,025.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />0 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />Q 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$4,687.00 <br />$5,025.00 <br />PAYMENT METHOD <br />❑ HOURLY Q MONTHLY <br />❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />SOLID WASTE <br />BUDGET NUMBER <br />A. 401 000000000400151001 %: 100.00 <br />B. %: <br />A. <br />B. <br />WORKWEEK <br />M Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />El Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />To continue any allowance, stipend, <br />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) $ 255.00 <br />$ 25.00 <br />STIPEND (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />OTHER (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK <br />—GPARIM ENT HEA 01 ELECTED 0FFICI AL <br />� I _ <br />IAT <br />BUDGET/PAYROLL DATE <br />HUMAN RES�R E <br />)ATE <br />,'C01�1 IOiL # DATE <br />COMMISSIONER 2 --" ` J <br />DATE <br />E91cA I NE GATE <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTIOIJ <br />Updated: 04/08/11 FOR HR USE: - NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />