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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 />07 <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Huck <br />FIRST NAME <br />Lucas <br />EMPLOYEE # <br />H2696 <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 />19446R 7-sl6P <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />q TERMINATION (Provide Separation Info) <br />ObTWER (Describe Below) <br />❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ OTHER (0) ❑ OTHER (0) <br />❑ Eligible For Rehire ❑ Ineligible For Rehire <br />Provide Details of Separation Below <br />COMMENTS : Increase per wage survey - payment effective 01/01/17; deferred until February payroll. Interim stipend to continue until <br />March 1st. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />COUNTY ENGINEER <br />OCCUPATION CODE <br />2377 <br />UNION CODE <br />30 <br />PAY GRADE <br />277 <br />STEP / POSITION <br />6 <br />FLSA STATUS <br />❑ Non -Exempt 0 Exempt ❑ Not Covered <br />❑ Non -Exempt Q Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑ PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible ❑ PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />6/6/2016 <br />ADJ HIRE DATE <br />6/6/2016 <br />POSITION DATE <br />6/6/2016 <br />LAST RAISE DATE <br />I I f�} <br />BASE WAGE <br />$7,500.00 _ <br />$8,339.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑' 100% [:180% ❑ 75% ❑ 60% ❑ 50% <br />❑' 100/ ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 7,500.00 <br />$ 8,339.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY <br />❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />PUBLIC WORKS <br />BUDGET NUMBER <br />A. 000 RA3376 %: 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />Q 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) $ 0,00 $ 0.00 <br />STIPEND (Detail in Comments Section) <br />$ 500.00, <br />OTHER (Detail in Comments Section) <br />$ 0,00 $ 0.00 <br />SECTION 4: SIGNATURES MUST BE SIGNED IN BLUE INK) <br />DE TMENT HEAD / ELESXkD <br />'AOFFFIICIIA�L% �. DATE <br />BUDGET/PAY LL y�7 fj D'A�T�E <br />RES URLE 1 <br />DATfE <br />I r <br />COMMI55 1 DATE <br />[ I ❑ <br />DATE <br />COMMI R DA1 <br />7 3 <br />C� <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIB ON <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />07 <br />