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HomeMy WebLinkAboutPersonnel Action Request - Public Works (003)F"ERSONNEL ACTION REQUEST (PAR) Section:( Cori Employee Data (Cent Data Required EM a 3765 Legal Name: LUTZ, BRITTANY .EILEEN ffective Date: 5�21 Section _ E!!jployee Data�Re. UIre , for New Hkes, Separations, or if Changing) Item Curren; Date " ew Data Name Legal CI,Preferred Bri*ttany Eileen Lutz Enter ""s+.�� Address Telephony _-J - ext, SS - BirthdateL)6/88 000.00-0000 sto Action(s) LeaveData Other (Provide Comments) Type Reason Start Date oo/oo/ooA Sto Date 00/00/00 Eli *bIefor Rehire .provide Details gfLe2aration Beloto tents Stipend - Per Pay Period Sectio . Iterns (Current Data- Required) Item CurrentData ------ _,_ New Data - dept# -Dept-- ----- blit -Works-10105 JOb# Job Title------ � -- . -Secretary/ . c on t 000 -00 -<.Enter Title> Hire — Psn //3 - 12/19/1 00/00100- 00100/00 G -#-Nam A04 -Public Works A :employee Type Full Time Regular Section -- Seeondavy items Rie.. nl ff Changing) ItemCut-rent Data New Data Base Wage $00.0o <Select Cycle>$00.00 <Select .Band/ Step Stipend $16o.0000 Ot $00.0000--- S Type>Pay Type/:LSA AA ffE A A F EGr S only <En > ....... ..< Er> .thong Signatures Human Resources: /09121 Date: Board Approve Re U -1 -red,, N, 0 Chair: Date, 2,D Member, Revised 0 7/1 Oil 19