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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 />Seibert <br />FIRST NAME <br />Heather <br />EMPLOYEE # <br />S2486 <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) ❑ 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: Position's scale adjusted <br />st� pAer BOCC and Sheriff, effective 1/1/17. <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />CHIEF FINANCIAL MANAGER - KCSO <br />OCCUPATION CODE <br />1312 <br />UNION CODE <br />30 <br />PAY GRADE <br />112 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt Il Exempt ❑ Not Covered <br />❑ Non -Exempt El Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible [j] PERS ❑ LEOFF ❑ PSERS ❑ Other <br />❑ Ineligible El PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />1/2/2014 <br />ADJ HIRE DATE <br />1/2/2014 <br />POSITION DATE <br />8/24/2015 <br />LAST RAISE DATE <br />1/1/2016 <br />4 <br />BASE WAGE <br />$3,948.00 <br />$'4,414.00 <br />LONGEVITY <br />$ 0.00 <br />$ <br />FTE <br />❑� 100% ❑ 80% [:175% ❑60% [:150% <br />Q 100% ❑ 80% ❑ 75% ❑ 60% ❑ 50% <br />FTE WAGE <br />$3,948.00 <br />$4,414.00 <br />PAYMENT METHOD <br />❑ HOURLY ❑� MONTHLY <br />❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />SHERIFF <br />BUDGET NUMBER <br />A. 001 000000000300151001 %: 100.00 <br />B. %: <br />A. %: <br />B. %: <br />WORKWEEK <br />E] Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />E] Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />To continue any allowance, stipend, or other, it must be listed in both columns for audit purposes or the amount will default to "O". <br />ALLOWANCE (Detail in Comments Section) <br />$ woo $ 0,00 <br />STIPEND (Detail in Comments Section) <br />$ 0,00 $ 0,00 <br />$ 0.00 $ 0,00 <br />OTHER (Detail in Comments Section) <br />SECTION 4: SIGNATURES (MUST BE SIGNES11N BLUE INK) <br />DEPARTMENT HEADfri ECTED O CI <br />DATE <br />BUDGET/PAY OLL AfE <br />HUMAN RESOURCE <br />DATE <br />COMMISSi DAT <br />C I N <br />A71 <br />COMM _ATE <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 />