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KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />LAST NAME <br />Eklund <br />SECTION 1: EMPLOYEE DATA <br />FIRST NAME EMPLOYEE # EFFECTIVE DATE <br />Jason E1948 —1 / a 20111 <br />i- - I - - � �� /i --Z 1 <br />EMPLOYEE TYPE <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE ACTION TYPE OF SEPARATION REASON FOR SEPARATION <br />❑✓ FULL-TIME (1) ❑ NEW HIRE ❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ PART-TIME (2) ❑ ftE-HIRE ❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ LIMITED PART-TIME (3) �❑ 'q)fERIT / 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) ,❑'(Y HER (Describe Below) 1 ❑ 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 />WX, Y1U-L � Lev <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report Enter new data <br />JOB TITLE <br />GIS COORDINATOR <br />OCCUPATION CODE <br />2313 <br />UNION CODE <br />30 <br />PAY GRADE <br />213 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt [j] Exempt ❑ Not Covered <br />❑ Non -Exempt 0 Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible El PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible 0 PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />2/27/2007 <br />ADJ HIRE DATE <br />2/27/2007 <br />POSITION DATE <br />2/27/2007 <br />LAST RAISE DATE <br />1/1/2016 <br />jq <br />BASE WAGE <br />$ 5,207.00 <br />$ 5;513.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑� 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />❑p 100% ❑ 80% [:175% ❑60% ❑ 50% <br />FTE WAGE <br />$ 5,207.00 <br />$ 5,513.00 <br />PAYMENT METHOD <br />❑ HOURLY 0 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 />[D 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) $ 60.00 $ 60.00 <br />STIPEND (Detail in Comments Section) $ 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 />DEPAR-A+JEiYI �' IiD OFFICIAL DATE <br />BUDGETIPAYR CL RTE <br />HUMAN RESOURCE <br />DATE <br />' 1 , <br />COMMIS Elf DATE <br />01 <br />COM R g <br />DATE <br />COMMIS N O E <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date EvalRating(IE— ID — S — AA — S) Initial <br />FA <br />