Laserfiche WebLink
C41 <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 />Whitford <br />FIRST NAME <br />Lou <br />EMPLOYEE # <br />W2282 <br />EFFECTIVE DATE <br />01/01/2017 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />FREASON FOR SEPARATION <br />❑✓ FULL-TIME (1) ❑ NEW HIRE ❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ PART-TIME (2) ❑ RE -HIRE ❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ LIMITED PART-TIME (3) ❑ MERIT/ STEP ❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ TEMPORARY (4) ❑ POSITION CHANGE (Describe Below) ❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ CASUAL (5) ❑ BUDGET CHANGE (Describe Below) ❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ SEASONAL (6) ❑ LEAVE (List Type Below) ❑ OTHER (0) ❑ OTHER (0) <br />❑ PROJECT (7) ❑ TERMINATION (Provide Separation Info) <br />❑ WORK STUDY (8) ❑✓ OTHER (Describe Below) ❑ Eligible For Rehire ❑ Ineligible For Rehire <br />❑ VOLUNTEER (9) 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 />PLANS EXAMINER <br />OCCUPATION CODE <br />2443 <br />UNION CODE <br />40 <br />PAY GRADE <br />243 <br />STEP / POSITION <br />6 <br />FLSA STATUS <br />Non -Exempt [:]Exempt ❑Not Covered <br />Q Non -Exempt ❑ Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑' PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible Q PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />3/28/2011 <br />ADJ HIRE DATE <br />3/28/2011 <br />POSITION DATE <br />4/18/2011 <br />LAST RAISE DATE <br />1/11/2016 <br />k �• <br />BASE WAGE <br />$3,709.00 <br />$4,647.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑ 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />Q 100% ❑ 80% ❑ 75% ❑ 60% E-150% <br />FTE WAGE <br />$3,709.00 <br />$4,647.00 <br />PAYMENT METHOD <br />❑ HOURLY [H] MONTHLY <br />❑ HOURLY Q MONTHLY <br />DEPARTMENT <br />COMMUNITY DEVELOPMENT SERVICES <br />BUDGET NUMBER <br />A. 402 000001042020151001 %: 100.00 <br />B. %: <br />A. Bio: <br />B. %: <br />WORKWEEK <br />❑� Standard ❑ ALT/1" Friday off: _ ❑ 207(k) <br />❑� 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) <br />$ 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 />D EN7 /ELECTED OFFICIAL DAT <br />BUDGET/PAY Oil. ATE <br />I <br />HUMAN RESOURCE <br />V"__/ <br />DATE <br />COMMIS t {] 7E <br />COMNIE ER ` ATE <br />d -e} I <br />FOR DISTRIBUTION <br />C +12 <br />DATE <br />i t <br />RETURN FORM TO HUMAN RESOURCES <br />Updated: 04/08/11 FOR HR USE: NT Update ___ Eval Date — Eval Rating (IE -ID -S -AA -S) Initial <br />