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C -,K <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />LAST NAME <br />Tushkov <br />SECTION 1: EMPLOYEE DATA <br />FIRST NAME EMPLOYEE #EFFECTIVE DATE <br />Tyler T2351 rt 7 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />❑✓ FULL-TIME (1) <br />❑ PART-TIME (2) <br />❑ LIM ITED 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 />REASON FOR SEPARATION <br />❑ NEW HIRE <br />❑ R •HIRE❑ <br />R IT / STEP <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />IERMINATION (Provide Separation Info) <br />OTHFR (Describe Below) <br />❑ DISCHARGE (D) <br />RESIGNATION (Q) <br />❑ RETIRED (R) <br />❑ LAID OFF (L) <br />❑ FAIL PROBATION (P) <br />❑ OTHER (0) <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 />SERVICE DESK SPECIALIST <br />OCCUPATION CODE <br />2451 <br />UNION CODE <br />40 <br />PAY GRADE <br />251 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑� Non -Exempt ❑ Exempt ❑ Not Covered Non -Exempt ❑ Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑� PERS ❑ LEOFF ❑ PSERS ❑ Other ❑ Ineligible ❑� PERS ❑ LEOFF ❑ P5ERS ❑ Other <br />HIRE DATE <br />1/2/2013 <br />ADJ HIRE DATE <br />1/2/2013 <br />POSITION DATE <br />1/2/2013 <br />LAST RAISE DATE <br />1/1/2016 1 } <br />BASE WAGE <br />$3,962.00 $4,552.00 <br />LONGEVITY <br />$ 0.00 $ <br />FTE <br />[] 100% ❑ 80% ❑ 75% ❑ 60% [:150% ❑' 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$3,962.00 $4,552.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY ❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />INFORMATION TECHNOLOGY <br />BUDGET NUMBER <br />A. 001 000000000001751001 %: 100.00 A. %: <br />B. %: B. %: <br />WORKWEEK <br />❑' Standard ❑ ALT/15t Friday off:❑ 207(k) ❑� Standard ❑ALT/1" Friday off: [I207(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 />DEPJ�RurvifiNVftq / ELECTED OFFICIALATE <br />--)- <br />1 <br />BUDGET/PAYRQ )DAT <br />'� � Iv,�7�/ <br />HCIAN ES <br />- <br />T�T l <br />COMMISSIO DATE <br />COMMIS. DA <br />4QG00 <br />C i R #2 <br />DATE <br />2 ►� <br />-J <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eva IDate EvalRating(IE—ID—S—AA—S) Initial <br />N <br />