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L� <br />KITTITAS COUNTY PERSONNEL ACTION FORM (P <br />I� SECTION 1: EMPLOYEE DATA <br />LAST NAME FIRST NAME EMPLOYEE # EFFECTIVE DATE <br />Gigstead Patrick G0245 <br />SECTION 2: TYPE OF ACTION <br />EMPLOYEE TYPES 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 ❑ Inetiglble For Rehire <br />❑ VOLUNTEER (9) Provide Details of Separation Below <br />COMMENTS Increase per wage survey - payment effective 1/1/17; deferred until February payroll. <br />New Min: $4453; New Mid: $5166; New Max: $5993 <br />SECTION 3: POSITION DATA <br />EnterexEsting data from CAMAS Wage Data Report <br />Enter new data <br />JOB TITLE <br />CHIEF PROBATION OFFICER <br />OCCUPATION CODE <br />2311 <br />UNION CODE <br />30 <br />PAY GRADE <br />211 <br />STEP / POSITION <br />5 <br />FLSA STATUS <br />❑ Non -Exempt ❑' Exempt ❑ Not Covered <br />❑ Non -Exempt ❑� Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible ❑ PERS ❑ LEOFF ❑� PSERS ❑ Other <br />❑ Ineligible ❑ PERS ❑ LEOFF ❑' PSERS ❑ Other <br />HIRE DATE <br />7/10/2006 <br />ADJ HIRE DATE <br />7/10/2006 <br />POSITION DATE <br />9/2/2015 <br />LAST RAISE DATE <br />1/1/2015 <br />BASE WAGE <br />$ 5,301.00 <br />$ 5, 31.00 <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 />$ 5,301.00 <br />$ 5,831.00 <br />PAYMENT METHOD <br />❑ HOURLY Q MONTHLY <br />❑ HOURLY ❑� MONTHLY <br />DEPARTMENT <br />MISDEMEANANT PROBATION <br />BUDGET NUMBER <br />A. 127 000000000000051001 %: 100.00 <br />B. %; <br />A. %: <br />B. %: <br />WORKWEEK <br />❑� Standard ❑ ALT/1" Friday off: ❑ 207(k) <br />0 Standard ❑ ALTA" 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 />DE ATMENT H All / E CTED0 CIAL <br />DATE <br />f -30 -1 <br />BUAGETjP p DAT <br />�7]r�I <br />pyl RESOUg <br />DATE <br />COMMiSSIO CAT <br />CO <br />DATE <br />171 I <br />COMMISSIO <br />� /'3 --/ 7 <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 />