Laserfiche WebLink
CAL <br />' KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />Updated: 04/08/11 FOR HR USE: NT Update EvalDate EvalRating(IE—ID—S—AA—S) Initial <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Berge <br />FIRST NAME <br />Ryan <br />EMPLOYEE # <br />B1254 <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 />Q 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 />TTEP <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />,TERMINATION (Provide Separation Info) <br />THER (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 1/1/17; deferred until February payroll. Cell phone allowance to continue. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />ROAD FOREMAN <br />OCCUPATION CODE <br />1402 <br />UNION CODE <br />40 <br />PAY GRADE <br />102 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />E] Non -Exempt [:]Exempt ❑ Not Covered <br />0 Non -Exempt ❑ Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑� PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible ❑O PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />6/22/1999 <br />ADJ HIRE DATE <br />6/22/1999 <br />POSITION DATE <br />9/1/2006 <br />LAST RAISE DATE <br />1/1/2016 <br />1 <br />BASE WAGE <br />$ 4,867.00 �X! .QS 04- <br />$ 5,354.27 <br />LONGEVITY <br />1 <br />$ 0.00 <br />$ <br />FTE <br />❑' 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />❑p 100% ❑ 80% [175% ❑ 60% ❑ 50% <br />FTE WAGE <br />$4,867.00 'g,.p Y- <br />$5,354.27 -j0, '{ WQj <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. M: <br />A. %: <br />B. %: <br />WORKWEEK <br />2 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) $ 25.00 $ 25.00 71. <br />STIPEND (Detail in Comments Section) $ 0.00 $ 0.00 <br />OTHER (Detail in Comments Section) $ 0.00 $ 0.00 <br />SECTION 4: SIGNATURES MUST BE SIGNED IN BLUE INK) <br />TMENT HEAD / ELUTED <br />OFFICIAL A DATE <br />�l.cl IIV D��jO 1" <br />BUDGET/P � A/ E <br />97 / <br />4 MA RES URGE <br />DATE <br />CO D <br />CO i55 ATE <br />C I ER 1{ <br />O <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBOfthr <br />Updated: 04/08/11 FOR HR USE: NT Update EvalDate EvalRating(IE—ID—S—AA—S) Initial <br />