Laserfiche WebLink
c� <br />KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />Updated: 04/08/11 FOR HRUSE7 NT Update Eval Date EvalRating(IE— ID — S —AA — S) Initial <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Bowen <br />FIRST NAME <br />Karen <br />EMPLOYEE # EFFECTIVE DATE <br />B2027 441/2017 <br />SECTION 2: TYPE OF ACTION <br />EMP OYEE 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 />4;3-0l (X*T-eRANGE (Describe Below) <br />❑ LEAVE (List Type Below) <br />TERMINATION (Provide Separation Info) <br />THER (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 />Details of Separation Below <br />Provide <br />^� n <br />COMMENTS: �'�l/V'-Ll�c�/f(1%i/�Q,y C����v�✓�,%7n �"V,��I�l".."�r/wnnoii IV 1�✓�p���/11"'� <br />"SEECrIION <br />3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />ADMINISTRATIVE ASSISTANT III <br />OCCUPATION CODE <br />3376 <br />UNION CODE <br />30 <br />PAY GRADE <br />376 <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 El PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible Q PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />11/26/2007 <br />ADJ HIRE DATE <br />11/26/2007 <br />POSITION DATE <br />3/9/2015 <br />LAST RAISE DATE <br />1/1/2016 <br />4 <br />BASE WAGE <br />$ 3,505.00 <br />$ 3,680.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />0 l00% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />2 100/ ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$ 3,505.00 <br />$ 3,680.00 <br />PAYMENT METHOD <br />❑ HOURLY E MONTHLY <br />❑ HOURLY [j] MONTHLY <br />DEPARTMENT <br />CLERK <br />B U DG ET N U M B E R <br />A.001 000000000001551001 %: 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />E] Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />El 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 />$ 0.00 $ 0.00 <br />OTHER (Detail in Comments Section) <br />$ 0.00 $ 0,00 <br />SECTION 4: SIGNATURES (MUST BE SIGNED IN BLUE INK) <br />DEP NT HE / ELECTED 0 FICIAL DAT <br />�/�I <br />l <br />BUDG PA LL DATV <br />H ARAN RE <br />URGE <br />Tr-7COMMISSI <br />DATE <br />C ER <br />DATE <br />COMMISS Df/E_ <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HRUSE7 NT Update Eval Date EvalRating(IE— ID — S —AA — S) Initial <br />