Laserfiche WebLink
U <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />LAST NAME <br />IVIN <br />SECTION 1: EMPLOYEE DATA <br />FIRST NAME EMPLOYEE # EFFECTIVE DATE <br />DIANE 112754 02/13/17 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION 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) <br />❑ WORK STUDY (8) <br />Z VOLUNTEER (9) <br />® NEW HIRE ❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ RE -HIRE ❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ MERIT/ STEP ❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ POSITION CHANGE (Describe Below) ❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ BUDGET CHANGE (Describe Below) ❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ LEAVE (List Type Below) ❑ OTHER (0) ❑ OTHER (0) <br />❑ TERMINATION (Provide Separation Info) <br />❑ OTHER (Describe Below) ❑ Eligible For Rehire ❑ Ineligible For Rehire <br />Provide Details of Separation Below <br />COMMENTS: VOLUNTEER (CITIZEN PATROL) <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />VOLLTNTEER/INTERN <br />OCCUPATION CODE <br />9900 <br />UNION CODE <br />90 <br />PAY GRADE <br />900 <br />STEP / POSITION <br />I <br />FLSA STATUS <br />❑ Non -Exempt ❑ Exempt ❑ Not Covered <br />❑ Non -Exempt ❑ Exempt Z Not Covered <br />DRS STATUS <br />❑ Ineligible ❑ PERS ❑ LEOFF ❑ PSERS ❑ Other <br />Z Ineligible ❑ PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />02/13/17 <br />ADJ HIRE DATE <br />02/13/17 <br />POSITION DATE <br />02/13/17 <br />LAST RAISE DATE <br />BASE WAGE <br />$ <br />$0 <br />LONGEVITY <br />$ <br />$ <br />FTE <br />❑ 100/ ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />Z 100/ ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ <br />$ <br />PAYMENT METHOD <br />❑ HOURLY ❑ MONTHLY <br />❑ HOURLY ()f MONTHLY <br />DEPARTMENT <br />SHERIFF <br />BUDGET NUMBER <br />A. %: <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />❑ Standard ❑ ALT/I" Friday off: ❑ 207(k) <br />Z 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) $ $Q <br />STIPEND (Detail in Comments Section) <br />$ $0 <br />OTHER (Detail in Comments Section) <br />$ $Q <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEPARTMENT HEAD / ELECTED OFFICIAL <br />DATE <br />BUDGETJPA OLL -7 // DATE <br />HUMAN R . OURC£ <br />DATE <br />1 1 <br />COMMISSI 1 DA <br />'V <br />C R # <br />DATE <br />COMM E [] E <br />RETURN FORM Tb HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: <br />NT Update EvalDate Eval Rating (IE—ID—S—AA—S) Initial <br />