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Lew] <br />LC_77':, 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 />Hoctor <br />FIRST NAME <br />Paula <br />EMPLOYEE # <br />K0187 <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 />0 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 />p <br />Provide Details of Separation Below <br />COMMENTS: Position's scale adjusted per BOCC and Sheriff, effective 1/1/17 <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report Enter new data <br />JOB TITLE <br />CORRECTIONS COMMANDER <br />OCCUPATION CODE <br />1330 <br />UNION CODE <br />30 <br />PAY GRADE <br />130 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt El Exempt ❑ Not Covered ❑ Non -Exempt Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑ PERS ❑ LEOFF a PSERS ❑ Other ❑ Ineligible ❑ PERS ❑ LEOFF I] PSERS ❑ Other <br />HIRE DATE <br />7/20/1992 <br />ADJ HIRE DATE <br />8/15/1992 <br />POSITION DATE <br />1/1/2009 <br />LAST RAISE DATE <br />1/1/2016 4 l <br />BASE WAGE <br />$ 5,601.00 $7;7-7 <br />%V7 <br />LONGEVITY <br />$ 0.00 $ <br />FTE <br />❑D 100% [:180% ❑ 75% ❑ 60% [:150% [j] 100% [:180% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 5,601.00 $ —71,'7 <br />f. <br />PAYMENT METHOD <br />❑ HOURLY ❑' MONTHLY ❑ HOURL ONTHLY <br />DEPARTMENT <br />SHERIFF <br />BUDGET NUMBER <br />A. 001 000000030010751001 %: 100.00 A. <br />B. %: B. <br />%: <br />%: <br />WORKWEEK <br />To continue any allowance, stipend, <br />El Standard ❑ ALT/1" Friday off: ❑ 207(k) 0 Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />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) <br />$ 0.00 $ 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 />DEPARTMENT HEA /ELECTED qfIAL <br />DATE <br />BUDGET/ AYR L <br />HU AN RE U CE <br />DATE <br />COM E <br />DATE <br />13113 <br />CO SSiO 2 <br />TE <br />CO M15Si <br />DATIf <br />RETURN FORM TO HUMAN RESOURCES FOR DISTft UTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />