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C-� <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 />Schaan <br />FIRST NAME <br />Joann <br />EMPLOYEE # <br />S2703 <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 -Ti ME (1) <br />5jCPART-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 />❑ 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 Repoli <br />Enter new data <br />JOB TITLE <br />DD PROGRAM COORDINATOR <br />OCCUPATION CODE <br />2874 <br />UNION CODE <br />40 <br />PAY GRADE <br />274 <br />STEP / POSITION <br />15 <br />FLSA STATUS <br />I] 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 />6/7/2016 <br />ADJ HIRE DATE <br />6/7/2016 <br />POSITION DATE <br />6/7/2016 <br />LAST RAISE DATE <br />j <br />BASE WAGE <br />$ 2,041.80 <br />$ 2,237.40 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑ 100% [:180% ❑ 75% ❑� 60% ❑ 50% <br />❑ 100% ❑ 80% ❑ 75% Q 60% ❑ 50% <br />FTE WAGE <br />$ 3,403.00 <br />$ 3,729.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY <br />❑ HOURLY ❑' MONTHLY <br />DEPARTMENT <br />PUBLIC HEALTH <br />BUDGET NUMBER <br />A. 105 000000000056851001 %: 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />El Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />El 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) $ 0.00 <br />$ 0.00 <br />STIPEND (Detail in Comments Section) $ 0.00 <br />$ 0.00 <br />OTHER (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEP T LHEAEV-ELECJED OFFICIAL DATE <br />BUDGET/ P Ot DATE <br />H MAN RESOURCE <br />-1 <br />I' <br />ATE <br />1� <br />COMMI # D E <br />6 0 <br />C <br />DATE <br />n <br />L t , <br />COMMS E IIATE <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 />