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L KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />SECTION 1: EMPLOYEE DATA ' <br />LAST NAME <br />Enterexisting data/ram CAMAS Wage Data Report <br />FIRST NAME <br />EMPLOYEE # <br />EFFECTIVE DATE <br />Davis <br />OCCUPATION CODE <br />Bill <br />D2342 <br />rt=Tl7 <br />30 <br />SECTION 2: TYPE OF ACTION <br />PAY GRADE <br />EMPLOYEE TYPE I <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />REASON FOR SEPARATION <br />❑✓ FULL-TIME (1) <br />❑ NEW HIRE <br />❑ DISCHARGE (D) <br />❑ PERFORMANCE (P) <br />❑ PART-TIME (2) <br />Q J&HIRE <br />❑ RESIGNATION (Q) <br />❑ ATTENDANCE (A) <br />ELIMITED PART-TIME (3) <br />OMERIT/STEP <br />RETIRED (R) <br />CONDUCT (C) <br />❑ TEMPORARY (4) <br />E POSITION CHANGE (Describe Below) <br />❑ LAID OFF (L) <br />❑ OTHER EMPLOYMENT (E) <br />❑ CASUAL (5) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ FAIL PROBATION (P) <br />❑ PERSONAL (L) <br />❑ SEASONAL (6) <br />❑ LEAVE (List Type Below) <br />❑ OTHER (0) <br />❑ OTHER (0) <br />❑ PROJECT (7) <br />❑ TERMINATION (Provide Separation Info) <br />p 100% E 80% E 75% E 60% ❑ so% <br />p 100% E 80°r -175% El 60% ❑ so% <br />E] Eligible For Rehire <br />❑ Ineligible For Rehire <br />❑ WORK STUDY (8)OTHER <br />(Describe Below) <br />Provide Details of Separation Below <br />❑ VOLUNTEER (9) <br />DEPARTMENT <br />COMMENTS: Increase per wage surrey - payment effective 1/1/17; deferred until February payroll. <br />BUDGET NUMBER <br />A. 001 000000000001751001 %: 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />E Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />SECTION 3: POSITION DATA <br />To continue any allowance, stipend, or other, it must be listed in both columns for audit purposes or the amount wru aefourt to --u , <br />ALLOWANCE (Detail in Comments Section) $ 60.00 $ 60.00 <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 IN <br />DEPARTMENT; .D :IVECTED.OFFICIAL DATE BUDGETJP�VM ZleDATE <br />Fitt AN RE50Li nAiE� COMMI DTE <br />r 14 � <br />DATE CO DACE <br />t RETURN FORM TO HiiMAN RESOD CES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date EvalRating(IE— ID — S — AA — S) Initial <br />Enterexisting data/ram CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />SYSTEM ADMINISTRATOR <br />OCCUPATION CODE <br />2344 <br />UNION CODE <br />30 <br />PAY GRADE <br />244 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt ❑' Exempt ❑ Not Covered <br />❑ Non -Exempt Q Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ED PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible El PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />9/19/2012 <br />ADJ HIRE DATE <br />9/19/2012 <br />POSITION DATE <br />9/19/2012 <br />LAST RAISE DATE <br />1/1/2016 <br />! 4 <br />BASE WAGE <br />$ 4,780.00 <br />$ 5,139.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />p 100% E 80% E 75% E 60% ❑ so% <br />p 100% E 80°r -175% El 60% ❑ so% <br />FTE WAGE <br />$ 4,780.00 <br />$ 5,139.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY <br />[]HOURLY ❑� MONTHLY <br />DEPARTMENT <br />INFORMATION TECHNOLOGY <br />BUDGET NUMBER <br />A. 001 000000000001751001 %: 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />E Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />E Standard E 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 wru aefourt to --u , <br />ALLOWANCE (Detail in Comments Section) $ 60.00 $ 60.00 <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 IN <br />DEPARTMENT; .D :IVECTED.OFFICIAL DATE BUDGETJP�VM ZleDATE <br />Fitt AN RE50Li nAiE� COMMI DTE <br />r 14 � <br />DATE CO DACE <br />t RETURN FORM TO HiiMAN RESOD CES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date EvalRating(IE— ID — S — AA — S) Initial <br />