HomeMy WebLinkAboutPersonnel Action Request - Human Resources (004)PERSONNEL ACTION REQUEST (PAR)
---- Section. i — Core Employee Diida (Current Data is Required for all PAR Form,)
Empl#: 2879 Legal Name: Lang, Tyson Ellsworth Effective Date.- Or-/25/9 -5
*,W*011 -2, — El MR10yee Data (Current Data. col unin lis Required foi- all. PARs)
Item
Current Data
N�IVI(711anging Data
0 Log
Name 3
Lang, Tvson E.
Address
Telephone
(000) 000-0000 ext.
SS# - Birthdate 000-00-0000 - 00/00/00
T
-------------------------------- seefion f4 — Requested Action,
Action(s) (up tO 2)
Attendance - Leave Data
Separation Data
N\T,acre Chancre - Reclassification
b
A
I it] P e
Reason
Start Date oo/oo/oo
A
A
-------------- I
Eligiblefor Rehire - Dept
A
Stop Date oo/oo/oo
S 10
ect' 114 — Comments (for Separations, list the last day date of pay)
Sectlion 5 — Core Items — Current Data
I Section 6 — Core Items — Ch n D
g ata
Itern.
All Current Data is Required
Only Chare gilig Data i's Required
Dept# -Dept
TPublic De ense-oOI133 A
A A
Job*. -Job Title
1"--133-07-Public Defender 5
0 0 0-0 0 -< Enter 'T'Ifle>
HI*re - Position
01/01/14 01/01/20
00/00/00 - 00/00/00
G- rp# - Name
Nob-Pviblic Defender
A
Eiriplogee I�vpe
f7ull Time Regular
A
B 6cy
8,11,774.53 Montblv
$10
250,39 MonthIv f�
'Band / Step
07/1
------------ --- -------------- ------- ---
St ip e n d
$oo.00<Select I�rpe>
$0000 <Select Type>
Pav T�Te/FLSA
Exemot (SALRYE)
A
FTE
1.0 (4o hrs/wk)
A
Workweek
Standard Sun -Sat
A
U7—Au
,,Seetio thor'izing Signautres
Department. A Date:
Human Resources: Date.,
Eligiblefor Rehire- COU72ty A
Board Approval ReqLLI'red M Not Requir. d
Cbair:
Vice -Chair: Date:
Member:
HRUseOnly: LjCivic LV:j_GP[�4?AR LKJCWT
L]Acctg U Dept LJN@vi [_J T L_J NT
Revised 05122!224