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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 />Young <br />FIRST NAME <br />Lisa <br />EMPLOYEE # <br />Y1270 <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 />❑ MERIT/ STEP <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />❑ TERMINATION (Provide Separation Info) <br />❑✓ OTHER (Describe Below) <br />1 <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: Wage survey implementation -deferred from January 1, 2017 <br />VW\;t) du_�-,Z AlLwavite, 4 up <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />HUMAN RESOURCE DIRECTOR <br />1350 <br />OCCUPATION CODE <br />UNION CODE <br />30 <br />PAY GRADE <br />150 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt ❑� Exempt ❑ Not Covered <br />❑ Non -Exempt II Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible E PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible Q PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />7/7/1999 <br />ADJ HIRE DATE <br />7/7/1999 <br />POSITION DATE <br />11/8/2010 <br />LAST RAISE DATE <br />1/1/2016 <br />01/01/2017 <br />BASE WAGE <br />$ 5,663.00 <br />$ 6,150.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />p 100% ❑ 80% [:175 % ❑ 60% ❑ 50% <br />Q 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 5,663.00 <br />$ 6,150.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY <br />❑ HOURLY ❑' MONTHLY <br />DEPARTMENT <br />HUMAN RESOURCE <br />BUDGET NUMBER <br />A. 001 000000000380151001 %: 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />[D Standard ❑ ALT/1" 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) $ 60,00 $ 60.00 <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 IMUST BE SIGNED tN BLUE INK) <br />DEP T D / EL ED OFFICIAL DATE <br />BUDGETIP ROLL DATE <br />H RE . <br />D <br />COMMi I DTE <br />CO ISS IlyDATE <br />CONI N DATF <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 />