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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 />Green <br />FIRST NAME <br />Kim <br />EMPLOYEE # <br />G1239 <br />EFFECTIVE DATE <br />03/03/2017 <br />EMPLOYEE TYPE <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE ACTION TYPE OF SEPARATION REASON FOR SEPARATION <br />❑✓ FULL-TIME (1) <br />❑ PART-TIME (2) <br />❑ LIMITED PART-TIME(3) <br />[:1 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 />❑ MERIT/ STEP <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />Q TERMINATION (Provide Separation Info) <br />❑ OTHER (Describe Below) <br />❑ DISCHARGE (D) <br />[E-RESIONATION (Q) <br />Q ETIRED (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: Effective 3/3/2017 Kim will be retiring from her position within the Auditor's Office. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report Enter new data <br />JOB TITLE <br />RECORDS DEPUTY II <br />OCCUPATION CODE <br />3218 <br />UNION CODE <br />20 <br />PAY GRADE <br />318 <br />STEP / POSITION <br />7 <br />FLSA STATUS <br />[] Non -Exempt ❑ Exempt ❑ Not Covered ❑' Non -Exempt ❑ Exempt [:1 Not Covered <br />DRS STATUS <br />❑ Ineligible [] PERS ❑ LEOFF ❑ PSERS ❑ Other ❑ Ineligible [PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />4/12/1999 <br />ADJ HIRE DATE <br />4/12/1999 <br />POSITION DATE <br />7/1/2001 <br />LAST RAISE DATE <br />7/1/2011 <br />BASE WAGE <br />$-&,ee4-.00 $ 0.00 <br />LONGEVITY <br />$ 55.00 $ <br />FTE <br />[j] 100% ❑ 80% [:175% ❑ 6oi ❑ 5o% 0 l00% ❑ 80% ❑ 75% [160% ❑ 50% <br />FTE WAGE <br />$meg0 A $ <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY ❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />AUDITOR <br />BUDGET NUMBER <br />A.001 000000000110351001 is 100.00 A. %: <br />B. %: A. %: <br />WORKWEEK <br />❑' Standard ❑ ALT/1" Friday off: E1207(k) [] Standard ❑ ALT/1" Friday off: E3207(k) <br />To continue any allowance, stipend, or other, it must be listed in both columns foraudit purposes or the amount will default to "0". <br />ALLOWANCE (Detail in Comments Section) U -3-k— $ 0.00 <br />STIPEND (Detail in Comments Section) <br />$ 0.00 $ 0.00 <br />OTHER (Detail in Comments Section) <br />[$0.00 $ 0.00 <br />SECTION 4: SIGNATURES MUST BE SIGNED IN BLUE INK <br />DEP TMENTHEA I ELEC D 1CI <br />y A I Eo <br />1� ,04 <br />BUDGET RY 1. DATE <br />J"' 3;/1 <br />MAN R SOURCE <br />( ATE <br />COMMIS.S pA <br />ME�/_ <br />�T! K_N2 <br />ATE <br />tE <br />COMM TE <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 />