HomeMy WebLinkAboutPersonnel Action Request - Human Resources (003)PERSONNEL ACTION REQUEST (PAR)
section I — Core Employee Data (Current Data is Required for all PAR F ormO
Empl#, 5465
Legal Name..: Perez, Laurissa
Effective Date: 01/05/25
Section 2 — Employee Data. (Current Data column is Required for all PARs
Current Data
NewlChanging Data
Name Z C) Legal Preferred
Lauri Perez
Address
--
Telephone
)000
000 ex (000-ot,
SS# - Birthdate
000-00-0000 — 00/00/00
Se�on 3 — Requested Acdo'
n
Action(s) yp to 2)
Attendance -;heave Data
Separation Data ------------
Wage Change - Reclassification
A
A
Start Date Oo/00/00
Stop Date oo/oo/oo
Type,
A
Reason
A
Eligiblefor Rehire -Dept
Section 4 - Comments (for Separatiwis, fist th6, last day date bf Oat).
BOCC approved reclassification 12/31/2024*
Sectlon'5 Core Items 77 Current Dat'
a
It Ms -`Chan 1)
Sealon 6 Cbre e ata
Item
All Current Data is Required
Only Changing Data is Required
-Dept#-Dept
Human Resources-oo1124 A
A A
-,Job# -Job Title
-Benefits & Pa�
124-04 Toll Specialist
000-00-<Enter Title>
Hire — Position
10/02/15 - 04/20/17
00/00/00 - 00/00/00 -- ---------------
-Grp# Name
N05-Non.-Exempt
A
—Employee Type
Full Time Regular
A
Base Wage
$34!49 Hourly
$ 5*978.27
---------------
$37.20 Monthly
$
6448.00
Band / Step
10/7
12/5
Stipend
$Oo.00 <Select Type>
$00.00 <Select Type>
Pay Type/FL A
Non -Exempt — Salaried (SALYNE)
A
FTE
1.0 (4o hrs/wk)
A
Workwee1r,
Standard Sun -Sat
A
Section 7 — Authoriizmig si*gnatures
Department: Date,
Human Resources-, Date,
Eligiblefor Rehire - Counftj %.Or A
Board Approval El Required Not Re ire
Chair:
----- vice- hair: Date:
Member,-7 w V 4 -2,5
------------ ---------- ---
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Revised 05/22/24