Laserfiche WebLink
'I KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />FIRST NAME <br />EMPLOYEE # <br />EFFECTIVE DATE <br />Soliz <br />Rebecca <br />52746 <br />1-3-17 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />REASON FOR SEPARATION <br />0 FULL-TIME (1) ❑ NEW HIRE <br />❑ DISCHARGE (D) <br />❑ PERFORMANCE (P) <br />® PART-TIME (2) ❑ RE -HIRE <br />❑ RESIGNATION (Q) <br />❑ ATTENDANCE (A) <br />❑ LIMITED PART-TIME (3) ❑ MERIT/ STEP <br />❑ RETIRED (R) <br />❑ CONDUCT (C) <br />® TEMPORARY (4) ❑ POSITION CHANGE (Describe Below) <br />❑ LAID OFF (L) <br />❑ OTHER EMPLOYMENT (E) <br />❑ CASUAL (5) ❑ BUDGET CHANGE (Describe Below) <br />❑ FAIL PROBATION (P) <br />❑ PERSONAL (L) <br />❑ SEASONAL (6) ❑ LEAVE (List Type Below) <br />❑ OTHER (0) <br />❑ OTHER (0) <br />❑ PROJECT (7) ❑ TERMINATION (Provide Separation Info) <br />❑ WORK STUDY (8) ❑ OTHER (Describe Below) <br />$0 <br />PAYMENT METHOD <br />❑ Eligible For Rehire LJ Ineligible For Rehire <br />Provide Details of Separation Below <br />❑ VOLUNTEER (9) <br />COMMENTS: Rebecca will be working 17-18 ��hjjours a week as a temporary employee <br />uwvil vac 11 �:►�cC.!' <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />JOB TITLE <br />Intern <br />OCCUPATION CODE <br />9900 <br />UNION CODE <br />90 <br />PAY GRADE <br />900 <br />STEP / POSITION <br />1 <br />FLSA STATUS <br />❑ Non -Exempt [:]Exempt ® Not Covered <br />DRS STATUS <br />® Ineligible ❑ PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />12/12/16 <br />ADJ HIRE DATE <br />12/12/16 <br />POSITION DATE <br />12/12/16 <br />LAST RAISE DATE <br />12/12/16 <br />BASE WAGE <br />$0 <br />LONGEVITY <br />$0 <br />FTE <br />® 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$0 <br />PAYMENT METHOD <br />® HOURLY ❑ MONTHLY <br />DEPARTMENT <br />Prosecutor <br />BUDGET NUMBER <br />A. %: <br />Enter new data <br />-ester ' - fe'j,,, <br />11U& �Co i <br />-5-- i ,�L <br />❑ Non -Exempt ❑ Exempt U*eK--evered <br />® Ineligible ❑ PERS ❑ LEOFF ❑ PSERS ❑ Other <br />12/12/16 <br />1-3-17 <br />1-3-17 <br />$12.00/a <br />$0 <br />Eg 100% ❑ 80% ❑ 75% ❑ 60%.0.99W <br />$12.00 <br />® HOURLY ❑ MONTHLY <br />Prosecutor <br />A.001290151001 %:50 <br />B. %: B. <br />WORKWEEK ❑ Standard ❑ ALT/1s` Friday off: ❑ 207(k) ❑ Standard ❑ ALT/1s` Friday off: <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) $0 $0 <br />STIPEND (Detail in Comments Section) $0 $0 <br />OTHER (Detail in Comments Section) $0 $0 <br />SECTIO 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEPARTMEN Eljp'JELECTEDOfFRCIAL DATE BUDGET/PAYROLL <br />HUMA RESOU r r DATE CQ1G #1 <br />❑ 207(k) <br />HP, <br />COMMISSIONED{ _,,'; .�( I y DATE C 3 PATES <br />Aft <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 />