HomeMy WebLinkAboutPersonnel Action Request - BOCCPERSONNEL ACTION REQUEST (PAR)
Section -i - Core Employee Data (Current Data Required)
Empl#: 6o6o
Legal Name: Sperline, Michael Cory
Effectix,-e Date: 12/25/22
Section 2 - Employee Data (Required for New Aires, Separations, or if Changing)
Item
Cui-i-ent Data
New Data
Name 'D Lf.,
:1 Preferred
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
- ext.
SS# - Birthdate
000-oo-0000 oo/oo/oo
000-00-0000 — 00/00/00
Section ,3 - Requested Action
Action(s)
Leave Duta
Separation Data
Wage Change - Adjustment
A
A
Start Date oo/oo/oo
Stop Date o,o/oo/oo
Type
A
Reason
A
Ellgiblefor Rehire A
Provide Details of Separation Below
Section 4 -,Comments
Retro to the start of the first pay period Of 2023 follo-Mng FLEA base Avage qualification.
Section 5 - Core Items (Current Data Reg aired)
Item
Current Data
New Data
Dept# -Dept
Commissioners I Offiee_001101 A
A A
Job# -Job Title
101 -12 -Public Records Officer
000-0O-< Enter Title>
Hire — Position
10/24/22- 10/24/22
00/00/00 - 0,0/00/00
Grp# -Name
N04 -Exempt
A
Employee Type
Full Time Regular
A
Section 6 - Secondary Items (Requ.ired only if Changing)
Item
Curren t.Data
New Data
Base Wage
$5,141-07 Month1v
$5,602.13 Monthly
Band / Step
11/01
11/04
Stipend
$oo.0000 <Select Tyq)e>
$oo.0000 <Select Type>
Pay Type/ FLSA
Exempt (SALRYE)
A
r_j
FTE �TI
1.0 (4o hrs/wk)
A
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
A
Section 7 - Authorizh!g Signatures
Department: A Date:
Human Resources: Date:
Board Approval LJ Required E] Not Required
Chair:—'
Vice -Chair - Date:
Member: