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11� <br />".1 KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />LAST NAME <br />Hill <br />EMPLOYEE TYPE <br />SECTION 1: EMPLOYEE DATA <br />FIRST NAME EMPLOYEE # EFFECTIVE DATE <br />Lorraine H0170 1-1-17 <br />_ SECTION 2: TYPE OF ACTION <br />EMPLOYEE ACTION TYPE OF SEPARATION REASON FOR SEPARATION <br />® FULL-TIME (1) <br />❑ PART-TIME (2) <br />❑ LIMITED PART-TIME (3) <br />❑ TEMPORARY (4) <br />❑ CASUAL (5) <br />❑ SEASONAL (6) <br />❑ PROJECT (7) <br />❑ WORK STUDY (8) <br />❑ VOLUNTEER (9) <br />❑ NEW HIRE <br />❑ RE -HIRE <br />❑ MERIT/ STEP <br />❑ POSITION CHANGE (Describe Below) <br />❑ BUDGET CHANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />❑ TERMINATION (Provide Separation Info) <br />® OTHER (Describe Below) <br />❑ DISCHARGE (D) ❑ PERFORMANCE (P) <br />❑ RESIGNATION (Q) ❑ ATTENDANCE (A) <br />❑ RETIRED (R) ❑ CONDUCT (C) <br />❑ LAID OFF (L) ❑ OTHER EMPLOYMENT (E) <br />❑ FAIL PROBATION (P) ❑ PERSONAL (L) <br />❑ OTHER (0) ❑ OTHER (0) <br />❑ Eligible For Rehire ❑ Ineligible For Rehire <br />Provide Details of Separation Below <br />COMMENTS: Increase per wage survey- effective 1-1-17; deferred to February payroll <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />SE Paralegal <br />OCCUPATION CODE <br />2418 <br />UNION CODE <br />40 <br />PAY GRADE <br />218 <br />STEP / POSITION <br />6 <br />FLSA STATUS <br />® Non -Exempt ❑ Exempt ❑ Not Covered <br />Non-Exempt`Exempt ❑ Not Covered <br />❑ Ineligible Ig PERS ❑ LEOFF ❑ PSERS ❑ Other <br />DRS STATUS <br />❑ Ineligible ® PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />2-18-92 <br />ADJ HIRE DATE <br />2-18-92 <br />POSITION DATE <br />10-1-96 <br />LAST RAISE DATE <br />1-1-16 <br />1-1-17 <br />BASE WAGE <br />$3810. <br />$4191 <br />LONGEVITY <br />$35. <br />$ ` <br />FTE <br />® 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$3810 <br />$4191. <br />PAYMENT METHOD <br />❑ HOURLY ® MONTHLY <br />❑ HOURLY MONTHLY <br />DEPARTMENT <br />Prosecutor <br />BUDGET NUMBER <br />A.001290251001 /: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, 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 />STIPEND (Detail in Comments Section) <br />$0 $ <br />OTHER (Detail in Comments Section) <br />$0 $ <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />UEPARTM 0 / ELECT FC At DATE <br />BUDGET/PA �y D �E <br />HUMN_URCE <br />DATE <br />11 <br />COMM I E # i 0 TE <br />CO #2 <br />DATE <br />COM AT <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date EvalRating (IE—ID—S—AA—S) Initial <br />