HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPE RSONNEL ACTION REQUEST (PAR)
Section i — Core Employee Data (Current DatalisRequired for aH PAR Forms)
Empl#: 0355
Legal Name Booth, Andrew L.
Effective Date: og/09/24
SeCtiOn 2 '— Employee Data (Current Data-c d f Rs)
olumn is Require or. all PA
Item
Current Data
NewlChanging Data
Name -0 Lqgal
N Preferred
Andy Booth
Address
Telephone
(000) 000-0000 ext.
000-00-0000 — 00/00/00
SS# - Birthdate
Section 3 Requested Action
Action(s) (up to 2)
Attendance - Leave Data
eparqtion Data
Wage Change — Additional Pay
A
A
Start Date 00/00/00
Stop Date oo/oo/oo
Type
A
Reason
A
----
EligibleforRehire - .kept A
Secfion,�4 COmmen ts(fcar S!,Rartitlbns, list the last d!!yjdate. of pay)
.And has accepted to be 'Interim Public Works ' D"rector.
i
Section 5 — Core "Item's — Current Data
Section 6 — Core Items Changing .4ta
Item
All Current Data is Required
Only Changing Data is Required
Dept# -Dept
Public W-Orks-iolo5o
A A
Job# -Job Title
189-04-Deputy Public Works Director
18q-off.-Director of Public Works
Hire — Position
09/24/01- 05/26/24
00/00/00 - 00/00/00
Grp # - Name
NO3-Man.ager-Super-visor
Not -Department Head
Employee, Type
Full Time Regular
A
Base Wage
$10,o70, 7 Monthly
$58-1.0
$1o,623.6o Monthly
$ 61.29
Band / Stepp
20/5
Stipend
$oo.00 <select Type>
$oo,00 <Select Type>
Pay TiTe/FLSA
Exempt (SALRYE)
A
FTE
A
A
Workweek
Standard Sun. -Sat
A
Section7. AuthortizmigSiignatureg
Department: Date:
0
Human Resources. Date.
Eligible for Rehire - County A
Board Approval T-Required El Not Required
Chair:
A
-------------
Vice -Chair: Date. 1-7 1-
... .... . .. 14
Member:
FIR Use only: -Civic GPPARLCMT
Acctg Dept F]Navi F] TSF-] NT
Revised 05/22/24