HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Secdon i -- Core E I1 to e. Data (Current Data "is Required for all PAR Forms)
Emp , 5893 Legal Name: Last, First Middle Effective Date. 05/ 1 ,/ 24
Section 2 — Employee Data (Current Data colunm
is RegMi red for all PARS)
Item
Current Data
Netvf liang ng Data
Name ' 'gal
0 Preferred�'
.leanah Lopez
Address
Telephone
(000) 000-0000 ext.
(000) 000-0000 ext.
SS# - Blrthdate
000-oo-0000 — oo/oo/oo
Section 3 — Requested action
Action(s) (up,to 2)
Attendance - Leave Data
e oration Data
Wage Change - Reclassification
A
^
Start Date oo/oo/oo
Stop Date oo/oo/oo
"type
n
Reason
A
Eligiblefor Rehire - Dept A
Eltgrble for Rehire - County A
Section 4 — Comments (for Se artat qns list the last da.Yldate of Pay
Seeflon 5 -- Core Items — Current Data
Section 6 _ Core Items — Changing Data
Item
All Curretzt Dato Is egiiii-ed
0ii1y Changing Datu is Required
Dept#-DeptAuditor's
office- Elections-ooiioS h
A n
Job# -Job Title
to - -Certified Election Admintstat
000--oo- <E ter Ti le
Hire — Position
o /o / 1 - o /o / 3
00/00/00 - oo/oo/oo
Grp # - Name
Aol-Courthouse
A
Employee Type
Full Time Regular
A
Base Wage
$26.24 Hourly
$26.55 Hourly.
Es
Band / Step
o6 / oS
07 / o2
Stipend
$oo.0000 <Select TyTe>
$oo.0000 <SelectT pe>
Bay Type/FLSA
Non -Exempt — Salaried (SALYNE)
^
FTE
1.0 (4o hrs/wk)
FTE--Renew only
Workweek
Standard Sun -Sat
A
Sge '0 7 —Authqrizing Signatures
Department: Date: f
Hunan Resources: Date;
Board Approval ❑ Reaii*rdQ Not qui ed
Chair:
Vice --Chair; �. Date:
Member.
HR Use only;
11Civic
Gig
AR
CMT
Acctg
Dept
Navi
TS NT
Revised 091128,22023