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(J, <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />r SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Kinney <br />FIRST NAME <br />Zane <br />EMPLOYEE # <br />K2742 <br />EFFECTIVE DATE <br />30 017 <br />SECTION 2: TYPE OF ACTION <br />7 V I <br />EMPLOYEE TYPE <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 />EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />❑ DISCHARGE (D) <br />❑ RESIGNATION (Q) <br />❑ RETIRED (R) <br />❑ LAID OFF (L) <br />❑ FAIL PROBATION (P) <br />❑ OTHER (0) <br />REASON FOR SEPARATION <br />❑ NEW HIRE <br />❑ RE -HIRE <br />N-RIT/STEP <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />TERMINATION (Provide Separation Info) <br />1� OTHER (Describe Below) <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 />Provide Details of Separation Below <br />COMMENTS: Increase per wage survey - payment effective 1/1/17; deferred until February payroll. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data ReportEnter new data <br />JOB TITLE <br />WEB DEVELOPER <br />OCCUPATION CODE <br />2365 <br />UNION CODE <br />40 <br />PAY GRADE <br />265 <br />STEP / POSITION <br />7 <br />FLSA STATUS <br />E] Non -Exempt ❑ Exempt ❑ Not Covered 0 Non -Exempt ❑ Exempt [:]Not Covered <br />DRS STATUS <br />❑ Ineligible 0 PERS ❑ LEOFF ❑ PSERS ❑ Other ❑ Ineligible Q PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />1/3/2017 <br />ADJ HIRE DATE <br />1/3/2017 <br />POSITION DATE <br />1/3/2017 <br />LAST RAISE DATE <br />BASE WAGE <br />$4,040.00 4,703.00 <br />LONGEVITY <br />$ 0.00 $ <br />FTE <br />❑p 100% ❑ 80% [175% ❑ 60% ❑ 50% p 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$4,040.00 $4,703.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY ❑ HOURLY F] MONTHLY <br />DEPARTMENT <br />INFORMATION TECHNOLOGY <br />BUDGET NUMBER <br />A. %: A. %: <br />B. %: B. %: <br />WORKWEEK <br />❑� Standard ❑ ALT/I" Friday off: ❑ 207(k) ❑� 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) $ 0,00 $ 0.00 <br />OTHER (Detail in Comments Section) <br />$ 0,00 $ 0.00 <br />SECTION 4: SIGNATURES( UST BE SIGNED IN BLUE INK) <br />DEP Q ' ECTED OFFICIAL PATE <br />!!!7 <br />BUDGET/PAVPCILL 2- 7/5 <br />H MAH AESOUkt— <br />u <br />L LDATV <br />'I <br />COM i DATE <br />CM 112 <br />DATE <br />COM 10N I � 7E <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: <br />NT Update Eval Date Eval Rating (IE–ID–S–AA–S) Initial <br />