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x KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />LAST NAME <br />Luvera <br />SECTION 1: EMPLOYEE DATA <br />FIRST NAME EMPLOYEE # EFFECTIVE DATE <br />Christine L0204 01/01/2017 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION REASON FOR SEPARATION <br />❑✓ FULL-TIME (1) ❑ NEW HIRE ❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ PART-TIME (2) ❑ RE -HIRE ❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ LIMITED PART-TIME (3) ❑ MERIT /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) ❑✓ OTHER (Describe Below) ❑ 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 />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />DISTRICT COURT ADMIN <br />OCCUPATION CODE <br />1310 <br />UNION CODE <br />30 <br />PAY GRADE <br />110 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt 0 Exempt ❑ Not Covered <br />❑ Non -Exempt Q Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible 0 PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible Q PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />6/14/2002 <br />ADJ HIRE DATE <br />5/1/2006 <br />POSITION DATE <br />4/1/2007 <br />LAST RAISE DATE <br />1/1/2016 <br />,� <br />BASE WAGE <br />$ 5,090.00 <br />$ 5,599.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />Q 100/ ❑ 80% [175% ❑ 60% ❑ 50/ <br />❑' 100/ ❑ 80% E175% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 5,090.00 <br />$ 5,599.00 <br />PAYMENT METHOD <br />❑ HOURLY 0 MONTHLY <br />❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />LOWER DISTRICT COURT <br />BUDGET NUMBER <br />A. 001 000000000002451001 is 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />Q Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />0 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) <br />$ 0.00 <br />$ 0.00 <br />STIPEND (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />OTHER (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEPART ENT E ED OFFICIAL DATE <br />BUDGET/PAYR DA E <br />4U1,6AN RE OUR <br />ATE <br />COMMI <br />2 <br />C E 11Z <br />DATE COM DATE <br />70" <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE — ID — S — AA — S) Initial <br />