HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Section i — Core E!!!Lloyee DatA (Current Data is Required for all PAR Forms)
Empl#: 6278
Legal Name: Olsen, Jamie Rae Effective Date:"-03/30/2 5,
R ed f PARs), Employee Data (current Data co um is equir or AU
----------------
Item
Current Data NewlChanging Data
0 Legal
Name 0 ftefem
amied J Rae Olsen
Address
(000) 000-0000 ext.
Telephone
SS # - Birthdate
000-00-0000 — 00/00/00
--Reque�d ActioxitrsYr
Action(s) (U2 tO 2)
Attendance -Leave Data
Separation Data
Position Change - Rrzemefie-n
A
Type
Reason
AddO,ez6t FICAj rN
Start Date oo/oo/oo
A
A
Eligiblefor Rehire - Dept A
Stop Date oo/oo/oo
Section 4 C�oxntnenu (for Se I_; J,
'list the htst dddate of -parationg,
------------ se4don 5 "core items' carrifit-Datit Secidon 6._' Core Iteriis ChAA Data
Item All Cltrrent Data is Required Only Changz`ng Data is Required
Dept# -Dept Auditor's Office-ooiIO4 A Auditor's Office-ooI104
A
Job# -Job Title 104-05-Accounting Clerk i 104-o8-Account,ant
Hire - Position
09/3 0/24 - 09/30/24
09/30/24- 03/30/2,5
Grp # - Name
.... ... ---
A
Employee Type
Full Time Regular
Base Wage
Hourly
$
$35.o6 Hourly
---------------
$
Band / Step
08/1
13/1
Stipend
$oo.00 <Select Types
$oo.00 < Type>
Select
Pay Type/FLSA
Non -Exempt - Salaried (SAL:)
A
FICE
1,0(4o hrs/wk)
A
Workweek Standard Sun -Sat A
thpri *ng abires
Department.* S Date
Human Resources: Date:
Elfgible for Rehire - County
Board Approval [I Required El Nast Required
Chair:
Vice -Chair: Date:
Membev
---- - -
Muse uniy: Lj UVIC &j UF V& FAK L _11,MT
L__J ACCtg L_j Dept L_j Navi LJ TS L_J NT
Revised 05/22/24