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C -01-N <br />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 />Higginbotham <br />FIRST NAME <br />Sue <br />EMPLOYEE # <br />H0210 <br />EFFECTIVE DATE <br />01/01/2017 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION 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)TERMINATION <br />❑ WORK STUDY (8) <br />ElVOLUNTEER (9) <br />❑ NEW HIRE <br />❑ RE -HIRE <br />- Ah4ffi7-mP <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />(Provide Separation Info) <br />j�%all THEIR (Describe Below) <br />❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ OTHER (0) ❑ OTHER (0) <br />F1Eligible 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 <br />Enter new data <br />JOB TITLE <br />ADMINISTRATIVE ASSISTANT III <br />OCCUPATION CODE <br />3376 <br />UNION CODE <br />30 <br />PAY GRADE <br />376 <br />STEP / POSITION <br />1 <br />FLSA STATUS <br />❑ Non -Exempt ❑' Exempt ❑ Not Covered <br />❑ Non -Exempt ❑� Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑� PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible ❑� PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />3/22/1993 <br />ADJ HIRE DATE <br />3/22/1993 <br />POSITION DATE <br />7/1/2008 <br />LAST RAISE DATE <br />1/1/2016 <br />01/01/2017 <br />BASE WAGE <br />$4,371.00 <br />$4,808.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑� 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />❑� 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$4,371.00 <br />$4,808.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY <br />❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />AUDITOR <br />BUDGET NUMBER <br />A.001 000000000110151001 %: 100.00 <br />B. %: <br />A. %; <br />B. %, <br />WORKWEEK <br />E] Standard ❑ ALT/1s` Friday off: ❑ 207(k) <br />0 Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />To continue any allowance, stipend, or other, it must be listed in both columns for audit purposes or the amount will default to '0". <br />ALLOWANCE (Detail in Comments Section) <br />$, , � $ 0.00 <br />STIPEND (Detail in Comments Section) <br />$ 0.00 $ 25.00 <br />OTHER (Detail in Comments Section) <br />$ 0.00 $ 0.00 <br />SECTION 4: SIGNATURES (MUST BE ED IN BLUE INK) <br />DEP. TMENTI3 / D FICIAL <br />ATE <br />8U ETJPAY OL ATE <br />60MAN RESOURCE <br />DATECOM1vil <br />DA <br />L <br />C OR p K2!� <br />DTE <br />C ATE <br />7 <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 />