HomeMy WebLinkAboutPersonnel Action Request - Human Resources (004)PERSONNEL ACTION REQUEST (PAR)
Section i — Core Employee Data (Current Data is Required for all PAR Forms)
Empl#. 0174
Legal Name: Ochocinski, Desiree J
Effective Date-, of
Section 2 — Employee Data (Current Data column is
Required for all PARS)
Item
Current Data
NewlChunging Data
Name}'referredOchocinski
L'
, Desiree J
Address
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
Stop Date ooZoo/oo
Type
A
Reason
I A
Eligiblefor Rehire -Dept A
Section 4_— CAimments (for Separations, list the last day ,/date of pM)
Section 5 — Core Items — Current Data
Section 6 — Core Items — Changing Data
Item
All Current Data is Required
Onky Changing Data is Required
Dept# -Dept
District Court-001102 A
A A
Job --Job Title
102-03-DC AdrMinistrator
000-00-<Enter Title
Hire — Position
11/01/12 - 03/21/22
00/00/00 - 00/00/00
Grp# - Name
NO2-Department Head
A
Employee TN
,Te
Full Time Regular
A
Base Wage
$8,254.13 Monthly
$
$8,758.53 Monthly
Band / Step
16/4
19/1
Stipend
$oo.00 <Select Type>
$oo.00 <Select Type>
Pay Tvpe/FLSA
Exempt (SALRYE)
A
FTE
1.0 {4o hrs/wk)
A
Workweek
Standard Sun -Sat
A
S!;C#On 7 - Authorising Signatures
Department: Date: 01/1712025
Human Resources: Date:
Ellgiblefor Rehire - County
Board Approval Q Required n Not Required
Chair:
Vice -Chair: Date:
Member:
HKUse Unly: "UVIC LK UN I P PAK jjlLMT "Acctg "Dept L_j Navi L_j TS L_j NT
Revised 05,122/24