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Q1 <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date EvalRating(IE— ID — S —AA — S) Initial <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Pless <br />FIRST NAME <br />Judy <br />EMPLOYEE # <br />P0022 <br />EFFECTIVE DATE <br />01/01/2017 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />REASON FOR SEPARATION <br />❑✓ 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 />❑ NEW HIRE <br />❑ RE -HIRE <br />awwpsfep <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />P RMINATION (Provide Separation Info) <br />HER (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: Increase per wage survey - payment effective 1/1/17; deferred until February payroll. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report Enter new data <br />JOB TITLE <br />BUDGET & FINANCE MANAGER <br />OCCUPATION CODE <br />2323 <br />UNION CODE <br />30 <br />PAY GRADE <br />223 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt El Exempt ❑ Not Covered ❑ Non -Exempt 0 Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible 0 PERS ❑ LEOFF ❑ PSERS ❑ Other ❑ Ineligible 2 PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />11/1/1976 <br />ADJ HIRE DATE <br />11/1/1976 <br />POSITION DATE <br />4/4/1990 <br />LAST RAISE DATE <br />1/1/2016 01/01/2017 <br />BASE WAGE <br />$ 6,294.00 $ 6,923.00 <br />LONGEVITY <br />$ 85.00 $ 85.00 <br />FTE <br />❑' 100% E]80% [:]75% E]60% [350% ❑' 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 6,294.00 $ 6,923.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑' MONTHLY ❑ HOURLY ❑' MONTHLY <br />DEPARTMENT <br />AUDITOR <br />BUDGET NUMBER <br />A. 001 000000000110251001 %: 100.00 A. %: <br />B. %: B. %: <br />WORKWEEK <br />Q Standard ❑ ALT/I" Friday off: ❑ 207(k) I] Standard ❑ ALT/1" Friday off: ❑ 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 10': <br />ALLOWANCE (Detail in Comments Section) $ 0,00 <br />$ 0.00 <br />STIPEND (Detail in Comments Section) <br />$25.00'J <br />$ 25.00 J <br />OTHER (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEP RTMENT 1 D / E E ED OFflAL)DATE <br />17 <br />BUDGET/P RILL DA;E <br />AN RESOURCE <br />DATE <br />CO 6�E4/,DATE <br />R <br />ATE <br />COMR 0 ATE <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date EvalRating(IE— ID — S —AA — S) Initial <br />