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dt�� KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Myers <br />FIRST NAME <br />Clay <br />EMPLOYEE # <br />M0080 <br />EFFECTIVE DATE <br />01/01/2017 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPE <br />EMPLOYEE ACTION <br />TYPE OF SEPARATION <br />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) <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: Position's scale adjusted per BOCC and Sheriff, effective 1/1/17. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report Enter new data <br />JOB TITLE <br />UNDERSHERIFF <br />OCCUPATION CODE <br />1314 <br />UNION CODE <br />30 <br />PAY GRADE <br />114 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt [i] Exempt ❑ Not Covered ❑ Non -Exempt 0 Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑ PERS [j] LEOFF ❑ PSERS ❑ Other ❑ Ineligible ❑ PERS LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />7/22/1985 <br />ADJ HIRE DATE <br />7/22/1985 <br />POSITION DATE <br />1/1/2004 <br />LAST RAISE DATE <br />1/1/2016 I <br />BASE WAGE <br />$6,342.00$;'i <br />LONGEVITY <br />$ 0.00 $ <br />FTE <br />❑� 100% ❑ 80% ❑ 75% ❑ 60% [:150% ❑� 100% ❑ 8o% ❑ 75% ❑ 60% [:150% <br />FTE WAGE <br />$6,342.00 $$-1 9.{'1 , ra <br />PAYMENT METHOD <br />❑ HOURLY ❑' MONTHLY ❑ HOURLY 'MONTHLY <br />DEPARTMENT <br />SHERIFF <br />BUDGET NUMBER <br />A. 001 000000000300151001 %: 100.00 A. %; <br />B. %: B. %: <br />WORKWEEK <br />[j] Standard ❑ ALT/1" Friday off: ❑ 207(k) 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) $ 0.00 $ 0,00 <br />STIPEND (Detail in Comments Section) <br />OTHER (Detail in Comments Section) <br />$ 0.00 $ 0,00 <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEPARTMENT HEADLELECTEDQEFtCiAL <br />r► <br />DATE <br />I 7 " 2e� % <br />BUDS AY %� DATE <br />4? o,> :211� f <br />HU AN RESOURCE <br />DTE <br />CO I L1 .T <br />C IS <br />DTE <br />COM1M ISSIOR • . DAATTE <br />RETURN FORM TO HUMAN RESOURCES POR D53TRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update Eval Date Eval Rating (IE—ID—S—AA—S) Initial <br />