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C�- <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />LAST NAME <br />Fritz <br />EMPLOYEE TYPE <br />SECTION 1: EMPLOYEE DATA <br />FIRST NAME EMPLOYEE # EFFECTIVE DATE <br />Ramona A 12 2 2 1-1-17 <br />SECTION 2: TYPE OF ACTION I <br />EMPLOYEE ACTION 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- effective 1-1-17; deferred unti 1 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 />6 <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 IxPERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />1-19-99 <br />ADJ HIRE DATE <br />1-19-99 <br />POSITION DATE <br />5-1-04 <br />LAST RAISE DATE <br />1-1-16 <br />1-1-17 <br />BASE WAGE <br />$3454. <br />$3799. <br />LONGEVITY <br />$0 <br />$ <br />FTE <br />® 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />14 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$3454 <br />$3799 <br />PAYMENT METHOD <br />❑ HOURLY ® MONTHLY <br />❑ HOURLY 03 MONTHLY <br />DEPARTMENT <br />BUDGET NUMBER <br />Prosecutor <br />A.001290151001 /:100 <br />B. %: <br />A. is <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, <br />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 />$0 <br />$ <br />STIPEND (Detail in Comments Section) <br />$0 <br />$ <br />OTHER (Detail in Comments Section) <br />$0 <br />$ <br />SECTI N 4: SIGNATURES (MUST BE SIGNS LUE INK) <br />DEP.ARTM AD / ELE DO IA -L <br />DATE I <br />BUDGET/PAY oLL DAT <br />/1 <br />HUMAJN R <br />DATE <br />COMMISSIO 1 / D 7E <br />CO 2 <br />DATE <br />Commi55 E <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 />