HomeMy WebLinkAboutPersonnel Action Request - BOCCPERSONNEL ACTION REQUEST (PAR)� q ..�.
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Sectl'on i. — Core Employee Data (Current Data is Required for all PAR Forms)
Legal Name: Keyser, Joshua Anthony
Effective Date:,
I
SeCtiOn 2 — Employee Data (Current Data column
...
Iis Requ1ired fora PAR-s)
Item
Current Data
NewlChanging Data
Name `8`
7, Preferred
Joshua Keyser
Address
-Telephone
(000) 000-0000 eto
SS# - Birthdate
000-:00-0000 — 00/00/00
3 — Requested Action
Action(s) (u to 2
p )
Attenda-nce Leave Data
Separatin oData
Wage Change - Reclassification
A
A
Start Date oo/00/00
Stop Date oo/oo/00
Type
A
Reason
A
Eligiblefor Rehire - Dept
Section 4 —Comments (for Separations, -list the last day/date of pa�)
Position reclassification from part-time .8o to full-time.
Section 5 — Core Items — Current Data
Sectio4 6 — Core items — Chan9109 Data
Itern
All Current Data is Requh-ed
Only Changing Data is Required
Dept# -Dept
Commissioners' Office_001101 A
A A
Job# -Job Title
129-i6-Maiil. Semices Clerk
000-00-<Enter Title>
Hire — Position
o6/03/24' - o6/03/24
00/00/00 - 00/00/00
Grp# - Name
Nos -No n-Exampt
A
Employee Type
-PWLXim� il .4 Vp
(*Full Time Regular
Base Wage
. OHourly
$
$00.00 <Select Cycle>
$
Band Step
off. /2
fjjC
Stipend
$oo.00 <Select Type>
$00-00 <Select Type>
Pay Type/FLSA
Non -Exempt — Salaried (SALYNE)
A
FTE
.8 0 (3 2 hrs/wk)
1.0 (40 hrs/wk)
Workweek
tandard Sun -Sat
A
SectiOn 7 — Authorizing Signatures
Department:
Human Resources: Date,
Date:
Eligiblefor Rehire - County A
Board Approval Required Q Not Required
Chair:
Vice -Chain Date,:
Member-,
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Revised 05/22/24