HomeMy WebLinkAboutPersonnel Action Request - Public WorksYERSONNEL ACTION REQUEST (PAR)
- --------- - --- Section i — or Employee Data (Current Data Required)
Empl#: 2664 Legal Name - : CARRAN CO, CATHY M Effective Date: 04/05/21
Section 2 - Employee Data (Required for N
e -or Hires, �epaxrafious, or if Chaneng)
CurrentData New Data
Name
Q Preferred Cathy M. Carranco <Enter>
Address <Enter>
Telephon _e L
SS# - Birthdate -00-0000 00/00/00'
Seon 37 Requested Actiloii
- - --- ------- Action(s) — ------ - Leave Data Separation Data
Other (Provide Comments) A T Reason
,Vp L
A Start Dateoo/oo/oo opooppppooffio A A
Stop Date oo/oo/oo Eligiblefor Rehire
Provide Details ofqe
paration Below
Seeflon 4 - Comments
Sti IP end - Per Pay Penod
Item
.Dept* -Dept
Section 5 - Core Iteral (Current Data
CurrentData
Public Works- I
wed) ..... New Data
A A
Job# -Job Title189-03-Aect.
,Hire Position
Clerk II/ c Payable
01/22/96 - 04/17/17
000 -00<Enter Title>
00/00/00 - 00/00/00
.Grp# -Nam e
A04 -Public Works
A
A,
.Kinployee Type
Full Time Regular
Items
as Wage
.Band / Step
Section 6 - Som LS (tRe_T�red
Current Data
$00.00 <Select Cycle>
----------
ordy if Cb!!n
New Data
$00.00 <,Select Cycle>
Stipend
Pay Type/FLSA
$16o-0000 other
A
$00.0000 <Select Type>
A
FTE
A
A
-------------
FTE—GrIS Only
- ---- ---
-
<Entr>----
<Enter>
Workweek
A
A
Department,
Human Resources:
Board Approval 9FRe �re_ ot
Chair:
Vice -Chair:
4
Memben
rh
Date, T/2 1
Date: 04/09/21
Date.: -24D
Revised 071`1 '19