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Personnel Action Request - Clerks
PERSONNEL ACTION REQUEST (PAR) Section 1- Core Employee Data (Current Data Required) Empl#: 3143 Legal Name: LARKIN, SHEA K I Effective Date: 12/16/20 Section 2 - Employee Data (Required for New Hires, Separations, or if Changing) Item Current Data New Data Name 0 ❑ Preferred Address 257 PATRICK ROAD EPHRATA, WA 98823 <Enter> Telephone (509) 76o-1834 ext. ( ) - ext. SS# - Birthdate 533-84-6304 — 07/30/69 —00/00/00 Section g - Requested Action Action(s) Leave Data Separation Data Wage Change - Reclassification ^ ^ Start Date oo/oo/oo Stop Date 00/00/oo Type ^ Reason ^ Eligible for Rehire ^ Provide Details of Separation Below Section 4 - Comments JOB TITLE CHANGE - COURT FACILITATOR/PROTECTION ORDER ADMINISTRATOR Section.5 -Core Items (Current Data Required) Item Current Data New Data Dept# -Dept Clerk's Office -o01105 ^ ^ ^ Job# -Job Title 105-13- Cou A Facilitator Hire — Position 04/2o/98- 04/20/98 04/20/98 - 12/16/20 Grp# -Name Ao1-Courthouse ^ Employee Type Full Time Regular ^ Section 6 - Secondary Items (Required nly if Chan 'n Item Current Data New Data Base Wage $27.34 <Select Cycle> $30.11 Hourly Band / Step 09/07 __11/07 Stipend $oo.0000 <Select Type> $oo.0000 <Select Type> Pay Type/FLSA Non -Exempt — Salaried (SALYNE) ^ FTE 1.0 (4o hrs/wk) ^ FTE—GrIS Only <Enter> <Enter> Workweek Standard Sun -Sat ^ on q - thorizing Signatures Department: Date:1 — o Human Resources: K,Date: Board Approval © Require Not Itequi d Chair: Vice -Chair: Date: 2 Member: %w S !�2p Revised 08/24/2020