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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 />San Filippo <br />FIRST NAMELOYEE <br />�ftenta Nlete=��Z�635 <br /># <br />EFFECTIV DATE <br />01- -16 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />REASON FOR SEPARATION <br />0 FULL-TIME (1) 1J NEW HIRE ❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ PART-TIME (2) ❑ RE -HIRE ❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ LIMITED PART-TIME (3) ® MERIT/ STEP ❑ RETIRED (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) Pr ovjd Details of Separation Below <br />COMMENTS: Original agreement on offer was to increase the wage of the employee to4U. %%ra PH after a six-month <br />period. The increase in salary will occur the first of the year. Evaluation will occur in December. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />Planner II <br />OCCUPATION CODE <br />UNION CODE <br />'I <br />PAY GRADE <br />STEP / POSITION <br />; <br />FLSA STATUS <br />Non-Exempt:=�tetx� ❑ Not Covered <br />❑ Non -Exempt ® Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible S PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible S PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />ADJ HIRE DATE', <br />G% <br />POSITION DATE <br />LAST RAISE DATE <br />j <br />BASE WAGE <br />L - <br />LONGEVITY <br />$ <br />$ <br />FTE <br />® 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />S 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$3943 <br />$4232 <br />PAYMENT METHOD <br />❑ HOURLY S MONTHLY <br />❑ HOURLY S MONTHLY <br />DEPARTMENT <br />Community Development Services <br />BUDGET NUMBER <br />WORKWEEK <br />A.204213050099 %:100 <br />B. %: <br />A. %: <br />B. %: <br />® Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />❑ Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />To continue any allowance, stipend, <br />or other, it must be listed in both columns for audit purposes or the amount will default to 0". <br />ALLOWANCE (Detail in Comments Section) <br />$ 1 <br />$ <br />STIPEND (Detail in Comments Section) <br />$ <br />$ <br />OTHER (Detail in Comments Section) <br />$ () <br />$ <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE_ INK) <br />DE TMENT HEAP /•66EM1CTED OFFICIAL <br />DATE <br />& <br />BUDGET/PAYROLL DAT - <br />_41 &(11-1, <br />HUMANNO RCE <br />�- <br />'DATE <br />A <br />CO lsjwo1 ,,l ATE <br />lel <br />COMMISX2 / <br />` DATE <br />_ <br />Co MISSIONER#3 c DAT' <br />1 <br />RETURN FORM TO 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 />