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f"_.' <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />✓ RETURN FORW/rb HUMAN RESOURCES FOR DISTRIBUTION <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 />Anderson <br />FIRST NAME <br />Terrie <br />EMPLOYEE # <br />L0647 <br />EFFECTIVE DATE <br />09/02/2015 <br />EMPLOYEE TYPE <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE ACTION TYPE OF SEPARATION REASON FOR SEPARATION <br />U 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 />❑ NEW HIRE <br />❑ RE -HIRE <br />❑ MERIT/ STEP <br />POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />❑ TERMINATION (Provide Separation Info) <br />❑ OTHER (Describe Below) <br />❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ OTHER (0) ❑ OTHER (0) <br />❑ Eligible For Rehire ❑ Ineligible For Rehire <br />Provide Details of Separation Below <br />COMMENTS: 5% increase in wages to reflect assuming additional administrative duties as Probation Services Office Manager 15% <br />support goes away with separation of the probation departments. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />SENIOR CASE MANAGER <br />OCCUPATION CODE <br />2732 <br />UNION CODE <br />75 <br />PAY GRADE <br />232 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />Non -Exempt ❑ Exempt ❑ Not Covered <br />I] Non -Exempt ❑ Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑' PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible ❑' PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />3/6/1995 <br />ADJ HIRE DATE <br />9/19/1995 <br />POSITION DATE <br />3/1/2006 <br />09/02/2015 <br />LAST RAISE DATE <br />2/1/2003 <br />BASE WAGE <br />$ 3,614.00 <br />$ 3,795.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑' 100% [:180% ❑ 75% ❑ 60% ❑ 50% <br />'❑ 100% ❑ 80% ❑ 75/ ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 3,614.00 <br />$ 3,795.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑' MONTHLY <br />❑ HOURLY[j] MONTHLY <br />DEPARTMENT <br />MISDEMEANANT PROBATION <br />BUDGET NUMBER <br />A.127 000000000000051001 %: 100.00 <br />B. W _ <br />A. W. <br />B. %; <br />WORKWEEK <br />❑' Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />❑E Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />To continue any ollowance, 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) $ 0.00 <br />$ 0.00 <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 />DEPARTMENT HEAD ELECT.E0 OFf4CIAL <br />L <br />DATE <br />-712 <br />BUDGET/PAYROLL " DATE <br />1 <br />HUMAN RESOURCE moi° <br />DATE <br />C 0 fel D ? DATE <br />•6� <br />COMMIS NE� #2 <br />DATE <br />C - MISSS110 < r DAVE <br />✓ RETURN FORW/rb HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />