HomeMy WebLinkAboutPersonnel Action Request - BOCCPERSONNEL ACTION REQUEST (PAS )
Sectfon:i — Core E mployeze Data (Current Data is Required for all PAR riprius)
Empl#,- 5909
Legal Name iv Goodvvin, J Sally
S 0
Effective Date; 02/18/2-4
Se,66611 t, —,FMPl0yee.Data (Curreat Data colurnu is"Re -red for all PAR -s)
Ite M*
Cur'reht D ata
New/ChaligIng DatO
0 ugal
Name Cl p,,f,,,,d
-Sally Jo Goodwin
Address
Telephone
4
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(509) 237-3401 ext.
SS# - Withdate,
000-00-0000 — 00 /00/00
glectiou 3 Reqi ested Actio
Action(s) (up• to 2)
-11
Attendance - Leave Data
Separation Data
Wage Change - Adjustment
Other — Personal Data Change
A
Start Date oo/00/00
. Stop Date 00/oo/oo
Type
A
Reason
A
e - PehiIr b A
ElIgibleforept
Eligible for' Rehire - County
SeC6011 4 — Comments (for Sepgratiom, list the last da/date df Pity)
Wage Adj�.stment
Phone' Nd mber AddiViowt4-
Seidtion.,15.,— Core Renis ;Current Data
Section 6.—,.Core_ MIMS ..chan0agData
AAI -Current Data is Required
Only Changh7g Data is Required
Dept -Dept
missioner.s',0ffiCe_00I:L0I A
A A
Job# -Job Title
129-13-CoXilmunicAtionsClerk-
000 00 .<E n -ter Title>
'On .
04h8/11 - 0 4/18A!
........
-----------
OO/QO/00 .00/,00/00
Grp# Name
Noq-.Houfly
A
Employee Type
Other - Part-Time/Hourl-v
A
Base Wa&c,
$17 .38. NOUrlY
$
$19 Hourly
B.Mi.d step
ND / o
Stipend
$00. < >
QQ.00
<Sele
0.0000. U Type>
Pae `LSA
Non'-Exem' t — Houflv (HRLY)
P
FFE
VariAbl e-
A
FTE—Renew Only
WorlMreek
Standard Sun -Sat
A
Scction7—Auth orizing SiViatures
----------
Depart ment.,, Date:
Human Resources: Date#,
Board Approval El Requi. ot, equ od�)
Chain
Vice -Chair:,, Date: d_iol-
Member,
HRUse' Only: UCivic. CP PAR [JCMTAcctg Dep
[]NaV! TS NT
0 t
Revised 09/2.8/2_023