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C <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />FIRST NAME EMPLOYEE # EFFECTIVE DATE <br />Schoos <br />Rebecca 52442 1-1-17 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />_ <br />l EMPLOYEE ACTION TYPE OF SEPARATION _I REASON FOR SEPARATION <br />® FULL-TIME (1)0 <br />NEW HIRE ❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ PART-TIME (2) <br />❑ RE -HIRE ❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ LIMITED PART-TIME (3) <br />0 MERIT/ STEP ❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ TEMPORARY (4) <br />❑ POSITION CHANGE (Describe Below) ❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ CASUAL (5) <br />❑ BUDGET CHANGE (Describe Below) ❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ SEASONAL (6) <br />❑ LEAVE (List Type Below) ❑ OTHER (0) ❑ OTHER (0) <br />❑ PROJECT (7) <br />❑ TERMINATION (Provide Separation Info) <br />❑ WORK STUDY (8) <br />® OTHER (Describe Below) ❑ Eligible For Rehire ❑ Ineligible For Rehire <br />❑ VOLUNTEER (9) <br />Provide Details of Separation Below <br />COMMENTS: Increase per wage <br />survey- effective 1-1-17; deferred until February payroll <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report Enter new data <br />JOB TITLE <br />LS II <br />OCCUPATION CODE <br />3405 <br />UNION CODE <br />40 <br />PAY GRADE <br />305 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />® Non -Exempt ❑ Exempt ❑ Not Covered <br />® Non -Exempt ❑ Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ® PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible Qg PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />6-10-13 <br />ADJ HIRE DATE <br />6-10-13 <br />POSITION DATE <br />6-10-13 <br />LAST RAISE DATE <br />7-1-16 <br />1-1-17 <br />BASE WAGE <br />$3207 <br />$3367 _ <br />LONGEVITY <br />$0 <br />$ <br />FTE <br />® 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$3207 <br />$3367. <br />PAYMENT METHOD <br />❑ HOURLY ® MONTHLY <br />❑ HOURLY q MONTHLY <br />DEPARTMENT <br />Prosecutor <br />BUDGET NUMBER <br />A.00129035 ) 001 /:100. <br />, A. _ r: <br />B. %: <br />B. %: <br />WORKWEEK <br />® 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) $0 <br />$ <br />STIPEND (Detail in Comments Section) $0 <br />$ <br />OTHER (Detail in Comments Section) <br />so <br />$ <br />SE ON 4: SIGNATURES {h4UIST BE SIGNED N -S UE INK) <br />DEPA 7 HEAD/E ED FFICIAL DATE <br />BUDGET/PAY L DATE <br />L <br />HU <br />DATE <br />T <br />COMMISSI E <br />' <br />O Jit <br />•i <br />DATE <br />COMMI DAT <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBU N <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />