HomeMy WebLinkAboutPersonnel Action Request - Facilities & MaintenancePERSONNEL ACTION REQUEST (PAR)
Section 1 — Core Employee Data (Current Data Required)
Empl#: 3709
Legal Name: Guerrero Al erdin, Abel
I Effective Date: 03/16/20
Section 2 — Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name ° Prga'
❑ 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 g — Requested Action
Action(s)
Leave Data
Separation Data
Wage Change - Adjustment
A
Start Date o0/00/00
Stop Date 00/oo/00
Type
TReason
A
Eligiblefor Rehire A
Provide Details of Separation Below
Section 4 — Comments
C�r�b )naw se w -xNa DEQ
Section 5 — Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
Facilities Maintenance-oo1112 ^
A ^
Job# -Job Title
112 -11 -Maintenance IV
000 -00 -<Enter Title>
Hire — Position
o9/16/19 - og/16/19
00/00/00 - 00/00/00
Grp# -Name
A01 -Courthouse
^
Employee Type
Full Time Regular
Section 6 — Secondary Items (Required nly if Changing)
Item
Current Data
New Data
Base Wage
$24.34 Hourly
$25.8o Hourly
Band / Step
11/01
11/03
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
^
FTE
A
A
FTE—GrIS Only
<Enter>
<Enter>
Workweek
A
A
Se on Authorizing Signatures
Department: Date: t7 2C Z 0
Human Resources: Date:
Board Approval Req r R ui dChair:LNot
Vice -Chair: Date:
Member:
Revised 09/23/19