HomeMy WebLinkAboutPersonnel Action Request - Human Resources� _a
PERSONNEL ACTION REQUEST (PAR)
Section 1 - Core Employee Data (Current Data Ls Required for all PAR. Forms)
EMPI#'# 2930
Legal Name.- Sevier, Brittany L
Effective Date: 01
Section 2 - Employee Data (Current Data column is
Required for all PARs)
Iteni
Current Data
NewlChanging Data
Name El Lega I
Preferred
Address
Bevier, Brittany L
- --------------------
Telephone
(000) 000-0000 ext.
SS# - Birthdate
000-00-0000 — 00/00/00
Section 3 - Requested Action
Action(s) (up to 2)
Attendance - Leave Data
Separation Data
Wage Change - Reclassification
A
A
Start Date oo/oo/oo
I Stop Date oo/oo/oo
Type
A
Reason
A
Eligiblefor Rehire -Dept
Section 4 - Comments (for Separations, list the last day/date of pay)
Section 5 - Core Items - Current Data
Section 6 - Core Items - Changing Data
Item
All Current Data is Required
only Changing Data is Required
Dept# -Dept
District Court-oo1102 A
A A
Job# -Job Title
102-04-Assistant Administrator
000-00-<Enter Title>
Hire — Position
o6/09/14 - o8/16/22
00/00/00 - 00/00/00
Grp# - Name
NO3-Manager-Supen-isor
A
Employee Tv-pe
Full Time Regular
A
Base Wage
S6,616.13 Monthly
$
$6,943.73 Monthly
Band / Step
12/6
13a / 4
Stipend
Soo-oo <Select Type>
$oo.00 <Select Type>
Pay Type/ FLSA
Exempt (SALR E)
A
FTE
1.0 (4.o hrs/wk)
A
Work-N,�leek
Standard Sun -Sat
A
Section 7 - Authorizing Signatures
Department: _A Date.* 01/17/2024
Human Resources: Date:
Eligiblefor Rehire - County A
Board Approval E] Required ] Not Required
Chair: JA
Vice -Chair. Date-,
�JA
Member:
HR Use Only: Lj Civic I V I GP [X] PAR I %' ICQT H Acctg L] Dept U NaviHTS Lj NT
LArj LU
Revised 05/22/24