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KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME FIRST NAME EMPLOYEE # EFFECTIVE DATE <br />Lee Calvin L2613 <br />7 <br />SECTION 3: POSITION DATA <br />SECTION 2: TYPE OF ACTION <br />' r . <br />EMPLOYEE TYPE <br />I EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />REASON FOR SEPARATION <br />1 1 FULL-TIME (1) <br />❑ NEW HIRE <br />40 <br />❑ DISCHARGE (D) <br />❑ PERFORMANCE (P) <br />❑ PART-TIME (2) <br />RE -HIRE <br />6 <br />❑ RESIGNATION (C.) <br />❑ ATTENDANCE (A) <br />❑ LIMITED PART-TIME (3) <br />-RNERST <br />/ STEP <br />❑ Ineligible ❑� PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ RETIRED (R) <br />❑ CONDUCT (C) <br />❑ TEMPORARY (4) <br />❑ POSITION CHANGE (Describe Below) <br />ADJ HIRE DATE <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 />BASE WAGE <br />❑ OTHER (0) <br />❑ OTHER (0) <br />❑ PROJECT (7) <br />❑ TERMINATION (Provide Separation Info) <br />$ 0.00 <br />$ <br />FTE <br />❑ WORK STUDY (8) <br />'OTHER (Describe Below) <br />FTE WAGE <br />❑ Eligible For Rehire <br />❑ Ineligible For Rehire <br />❑ VOLUNTEER (9) <br />❑ HOURLY ❑� MONTHLY <br />❑ HOURLY ❑� MONTHLY <br />Provide Details of Separation Below <br />COMMENTS. Increase per wage <br />survey -payment effective deferred until February payroll. <br />BUDGET NUMBER <br />�� :�'7 R �.�.I'iVll�.�t•�i,�. <br />rl_/1/17; <br />� ��U1r�i-�l�.t<� �if�Lf <br />WORKWEEK <br />I] Standard ❑ ALT/1s` 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 win aerauit 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( UST BE SIGNED IN BLUE INK) <br />DF.PARTMENY, HEAp•% ELECTED OFFICIAL DATE BUDGET AYR L <br />- <br />HU AV RE46UW <br />r E DATt COMMISSIO <br />` C M R q2DATE COMMI <br />i k-3�' <br />RETURN FORM TO HUMAN RESO ACES FORu'0iSTRi6UTf0N <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />Enter existing data/rare CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />SERVICE DESK SPECIALIST <br />OCCUPATION CODE <br />2451 <br />UNION CODE <br />40 <br />PAY GRADE <br />251 <br />STEP / POSITION <br />6 <br />FLSA STATUS <br />[] Non -Exempt ❑ Exempt ❑ Not Covered <br />❑E Non -Exempt ❑ Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑� PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible ❑' PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />4/1/2015 <br />ADJ HIRE DATE <br />4/1/2015 <br />POSITION DATE <br />4/1/2015 <br />LAST RAISE DATE <br />1/1/2016 <br />1111 <br />1 7� <br />BASE WAGE <br />$ 3,482.00 <br />$ 3.624M <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑� 100% [:180% ❑ 75% ❑ 60% [:150% <br />[] 100% [:180% ❑ 75% [:160% ❑50% <br />FTE WAGE <br />$ 3,482.00 <br />$ 3,924.00 <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 />I] Standard ❑ ALT/1s` 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 win aerauit 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( UST BE SIGNED IN BLUE INK) <br />DF.PARTMENY, HEAp•% ELECTED OFFICIAL DATE BUDGET AYR L <br />- <br />HU AV RE46UW <br />r E DATt COMMISSIO <br />` C M R q2DATE COMMI <br />i k-3�' <br />RETURN FORM TO HUMAN RESO ACES FORu'0iSTRi6UTf0N <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />