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KITTITAS COUNTY PERSONNEL ACTION FORM (PAF) <br />Updated: 04/08/11 FOR HR USE: NT Update EvalDate EvalRating(IE—ID—S—AA—S) Initial <br />SECTION 1: EMPLOYEE DATA <br />LAST NAME <br />Lawrence <br />FIRST NAME EMPLOYEE # <br />Lisa B1041 <br />EFFECTIVE DATE <br />1/01/2017 <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 />THE R (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: Increase per wage survey -payment effective 1/1/17; deferred until February payroll. <br />,( <br />SECTION 3: POSITION DATA <br />Enter existing data from CAMAS Wage Data Report Enter new data <br />JOB TITLE <br />ASSISTANT DIRECTOR <br />OCCUPATION CODE <br />3387 <br />UNION CODE <br />30 <br />PAY GRADE <br />387 <br />STEP / POSITION <br />6 <br />FLSA STATUS <br />❑ Non -Exempt E] Exempt ❑ Not Covered ❑ Non -Exempt Q Exempt ❑ Not Covered <br />DRS STATUS <br />❑ Ineligible O PERS ❑ LEOFF ❑ PSERS ❑ Other ❑ Ineligible Q PERS ❑ LEOFF ❑ PSERS ❑ Other <br />HIRE DATE <br />5/6/1997 <br />ADJ HIRE DATE <br />9/9/1997 <br />POSITION DATE <br />11/6/2006 <br />LAST RAISE DATE <br />1/1 /2016 tit I I _- <br />BASE WAGE <br />$ 5,421.00 $ 5,791.00 <br />LONGEVITY <br />$ 0.00 $ <br />FTE <br />❑� 100% ❑ 80% [:175% ❑ 60% ❑ 50% ❑ 100% ❑ 80% ❑ 75% ❑ 60% [150% <br />FTE WAGE <br />$ 5,421.00 $ 5,791.00 <br />PAYMENT METHOD <br />❑ HOURLY Q MONTHLY ❑ HOURLY Q MONTHLY <br />DEPARTMENT <br />SOLID WASTE <br />BUDGET NUMBER <br />A. 401 000000000400151001 %: 100.00 A. %: <br />B. %: B. %: <br />WORKWEEK <br />E Standard ❑ ALT/I" Friday off: ❑ 207(k) 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 "0". <br />ALLOWANCE (Detail in Comments Section) $ 25.00 <br />$ 25.00 <br />STIPEND (Detail in Comments Section) $1,000.00 <br />$ 1,000.00 <br />OTHER (Detail in Comments Section) <br />$ 0.00 <br />$ 0.00 <br />SECTION 4: SIGNATURES MUST BE SIGNED IN BLUE INK) <br />MPA NT HEAD/ ELECTED OFF1CtAL— D <br />BUDGETJP DATE <br />��_ �i3li <br />HUMAN RESOURCE <br />bAj <br />COMMISSi D <br />I <br />C M ! <br />[]ATE <br />CO T <br />RETURN FORM TO HUMAN RESOURCES FOR DISTRIBUTION <br />Updated: 04/08/11 FOR HR USE: NT Update EvalDate EvalRating(IE—ID—S—AA—S) Initial <br />