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KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />B. %. <br />FIRST NAME <br />EMPLOYEE # <br />EFFECTIVE DATE <br />Schoos <br />® Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />Rebecca <br />S2442 <br />7-1-16 <br />To continue any allowance, stipend, or other, it must be listed in both columns for audit purposes or the amount will default to '0". <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />$0 <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION REASON FOR SEPARATION <br />® FULL-TIME (1) <br />$0 <br />$0 <br />❑ NEW HIRE <br />❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ PART-TIME (2) <br />SECTI N 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />❑ RE -HIRE <br />❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ LIMITED PART-TIME (3) <br />❑ MERIT/ STEP <br />❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ TEMPORARY (4) <br />HUMAN REO <br />6 <br />® POSITION CHANGE (Describe Below) <br />❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ CASUAL (S) <br />COMMISSIONER # ,, <br />❑ BUDGET CHANGE (Describe Below) <br />❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ SEASONAL (6) <br />DATE <br />aa <br />❑ LEAVE (List Type Below) <br />❑ OTHER (0) ❑ OTHER (0) <br />❑ PROJECT (7) <br />❑ TERMINATION (Provide Separation Info) <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />❑ WORK STUDY (8) <br />❑ OTHER (Describe Below) <br />Eligible For Rehire ❑ Ineligible For Rehire <br />❑ VOLUNTEER (9) <br />�❑ <br />Provide Details efSeparation-Below <br />COMMENTS: We are moving Rebecca to a LS II and placing her at the median of the wage scale as it exists at this point, <br />which is $3207.. <br />This is an $1600.00 increase for the remainder of the year, and we have the money in our budget to cover <br />JOB TITLE <br />OCCUPATION CODE <br />UNION CODE <br />PAY GRADE <br />STEP/ POSITION <br />FLSA STATUS <br />DRSSTATUS <br />HIRE DATE <br />ADJ HIRE DATE <br />POSITION DATE <br />LAST RAISE DATE <br />BASE WAGE <br />LONGEVITY <br />FTE <br />FTE WAGE <br />PAYMENT METHOD <br />DEPARTMENT <br />BUDGET NUMBER <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />LSI <br />3429 <br />40 <br />329 <br />5 <br />® Non -Exempt ❑ Exempt ❑ Not Covered <br />❑ Ineligible ® PERS ❑ LEOFF ❑ PSERS ❑ Other <br />6/10/13 <br />6/10/13 <br />6/10/13 <br />1/1/16 <br />$2931. <br />® 100% ❑ 80% ❑ 7S% ❑ 60% ❑ 50% <br />$2931. <br />❑ HOURLY ® MONTHLY <br />Prosecutor <br />A.001290351001 %.100 <br />Enter new data <br />LSII <br />3405 <br />40 <br />305 <br />5 <br />® Non -Exempt ❑ Exempt ❑ Not Covered <br />❑ Ineligible ® PERS ❑ LEOFF ❑ PSERS ❑ Other <br />6/10/13 <br />6/10/13 <br />6/10/13 <br />7/1/16 <br />$3207. <br />$0 <br />® 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />Y✓ <br />❑ HOURLY ® MONTHLY <br />Prosecutor <br />A.001290351001 x:100 <br />B. %. <br />I <br />B. <br />%: <br />WORKWEEK <br />® Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />I <br />® Standard ❑ ALT/1" Friday off: <br />❑ 207(k) <br />To continue any allowance, stipend, 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 />$0 <br />$0 <br />STIPEND (Detail in Comments Section) <br />OTHER (Detail in Comments Section) <br />$0 <br />$0 <br />$0 <br />$0 <br />efj <br />SECTI N 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEPARTMENT ELECT AL <br />r DATE <br />S d <br />BUDGET/PAYROLL: <br />' y <br />I <br />DTE <br />HUMAN REO <br />6 <br />DA <br />E <br />COMMISSIONER # ,, <br />ATE <br />CO I E 2 <br />DATE <br />aa <br />COMM`l IONS#3 <br />\ <br />DATE <br />' <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08 FOR HR USE: <br />NT Update Eval Date <br />EvalRating(IE— ID—S—AA—S) Initial <br />