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`�- KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />LAST NAME <br />Elkins <br />SECTION 1: EMPLOYEE DATA <br />FIRST NAME EMPLOYEE # EFFECTIVE DATE' <br />Kari B1953 i:�;A 71219 / 2 0 15 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />REASON FOR SEPARATION <br />Q 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 <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) <br />❑ RESIGNATION (Q) <br />❑ RETIRED (R) <br />❑ LAID OFF (L) <br />❑ FAIL PROBATION (P) <br />❑ OTHER (0) <br />U PERFORMANCE (P) <br />❑ ATTENDANCE (A) <br />❑ CONDUCT (C) <br />❑ OTHER EMPLOYMENT (E) <br />❑ PERSONAL (L) <br />❑ OTHER (0) <br />❑ Eligible For Rehire ❑ Ineligible For Rehire <br />Provide Details of Separation Below <br />COMMENTS: Increased responsibilities pay reflection as becomes de facto administrative assistant to JCA position which no longer has <br />Assistant JCA/Probation Manager. Also removes from administrative support responsibilities for Misd. Prob. Dept. <br />SECTION 3: POSITION DATA <br />Enter existing dotajrom CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />OFFICE MANAGER — JUV <br />N <br />OCCUPATION CODE <br />3268 <br />UNION CODE <br />20 <br />PAY GRADE <br />368 <br />STEP / POSITION <br />7 <br />a <br />FLSA STATUS <br />❑� Non -Exempt [:]Exempt ❑ Not Covered <br />❑� Non -Exempt ❑ Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑' PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible ❑� PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />6/1/2009 <br />ADJ HIRE DATE <br />6/1/2009 <br />POSITION DATE <br />12/12/2011a',,w <br />LAST RAISE DATE <br />5/1/2011 <br />BASE WAGE <br />$ 3,241.00 <br />$--3-,4,0-3-00 <br />LONGEVITY <br />I $ 0.00 <br />$ <br />FTE <br />'❑ 100% ❑ 8o% ❑ 75% ❑ 60% [150% <br />❑� 100% ❑ 8o% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 3,241.00 <br />$3;403:00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY <br />❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />JUVENILE PROBATION <br />BUDGET NUMBER <br />A. 001 000000022019951001 %: 85.00 <br />B. 127 000000000002251001 %: 15.00 <br />A. %: 100 <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 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) $ 0.00 $ 0.00 <br />STIPEND (Detail in Comments Section) <br />$ 0.00 $ 0.00 <br />OTHER (Detail in Comments Section) <br />$ 0.00 $ 0.00 <br />/✓ <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE IIVK)_ <br />1rARTMENT XAD / TED (FICIAL ,,.^, DATE <br />BUDGET/PAYROLL �� J ei< ) ,-; DATE /. <br />I�ITAN,RESC•CJRCr .� <br />DATE <br />CO'MI� NER ° DATE <br />COMMISS NER #2 <br />�J <br />DATE COMMISSIONER #j2 ;ATE i <br />RETURN F6RM 10 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 />