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KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />RETURN FORM fO HUMAN RESOURCES FOR DI—ST—R-1—BUTT—I'M <br />A <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 />Gigstead <br />FIRST NAME <br />Patrick <br />EMPLOYEE # <br />G0245 <br />EFFECTIVE DATE <br />9/2/2015 <br />EMPLOYEE TYPE <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE ACTION TYPE OF SEPARATION REASON FOR SEPARATION <br />LSI 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 />[I 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) <br />❑ RESIGNATION (Q) <br />❑ RETIRED (R) <br />❑ LAID OFF (L) <br />❑ FAIL PROBATION (P) <br />❑ OTHER (0) <br />❑ 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: 5% increase in wages to reflect additional Department Head responsibilities as reflected in 2015 Budget. Jo y.DeseFikbon <br />._attached. <br />if <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />CHIEF PROBATION OFFICER <br />OCCUPATION CODE <br />2311 <br />UNION CODE <br />30 <br />PAY GRADE <br />211 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt F!] Exempt ❑ Not Covered <br />❑ Non -Exempt 0 Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible [I PERS ❑ LEOFF E] PSERS ❑ Other <br />❑ Ineligible ❑ PERS ❑ LEOFF Q PSERSI ❑ Other <br />HIRE DATE <br />7/10/2006 <br />ADJ HIRE DATE <br />7/10/2006 <br />POSITION DATE <br />7/10/2006 <br />09/02/2015 <br />LAST RAISE DATE <br />1/1/2015 <br />BASE WAGE <br />$ 5,049.00 <br />$ 5,301.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />0 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />0 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 5,049.00 <br />$ 5,301.00 <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 />%. <br />A. %: <br />WORKWEEK <br />0 Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />❑' 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 />OTHER (Detail in Comments Section) <br />$ 0,00 $ 0.00 <br />$ 0.00 $000 <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEPART. ENT HEAD -ELECT D1 OFFICIAL D4TE <br />s�' ��� <br />MAITRESOURCE ° q)ATE <br />BUDGET/PAYROLL ), RATS <br />Cn M1�51 3' % f! ATE <br />COMMISS/{(/(.NIf #2' /j_� <br />X Ji.•. i �/�/ICII' <br />Q DATE <br />U/21D <br />r DATE <br />COMMS IODATE <br />R <br />RETURN FORM fO HUMAN RESOURCES FOR DI—ST—R-1—BUTT—I'M <br />A <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />