HomeMy WebLinkAboutPersonnel Action Request - BOCCPERSONNEL ACTIN
N REQUEST (PAR)
Section:t -"Core Employee Data (All sections required to be filled out)
Empl#: 4262 Legal Name: Vasquez, Barbara J. Effective Date: 09/14/2,9,
Section 2 Employee Data (Only required for nSw
nS__4s . ated employees & address changes)
separ
Item Current Data NewlChanging Data
Name [] `�P-gal
[I Preferred
Address
Telephone (ao0) 0oo-0000 ext. (aoa) 0oo-0000 ext.
SS# - Birthdate
000-00-0000 — 00/00/00
Section .1 - Requested Action
Aetron(s1u toy
Attendance -Leave Data Separation Data ---------
Other (Provide Comments) A Type Reason
Start Date oo/oo/oo A A
StOD Date 00/00./oo Eligiblefor Rehire - Dept A
Section 4 - Com'Ments (for S6parafion s. fist the last day/date of pay)
Board of County C
ommissioners Freezing wage,
Item
Dept# -Dept
C Current Data
All C'drre''Ilt Dtita �9; Rbq i d
COMMIssioners'Office-oonol A
101-41-Clerk of the Board
09/01/04 - 09/01/21
NO2-Department Head
-Full Time Regular
Section 6- Core items ChanAmg D;xta
Only ChangUl Data. is Re.qtdred
000-00- <Enter Title>
00/00/00 - 00/ 1 00/00
A
A
$_00.00 <Select Cyclew
$00-00 -<Select Type>
A
A
A
Job# -Job Title
Hire — Position
Grp# - Name
Employee Type
Base Wage
$7,994.15 Monthly $ 46.12----
14/6
Band / Step
Stipend —
Pay Type/FLSA
$ao.ao < - Select Type>
Exempt (SALRYE)
FTE
1.0 (4o hrs/,A,-k)
Workweek
Standard Sun -Sat
Section 7 - Authorm"ing Signatures
Department: Date:
Human Resources: Date: Z5-
Eligiblefor Rehire - County A
XT
Chair: /=
Vice -Chair:
Member,:
HR use only Qj N& [g PAR LQ-CMT 1-9
&P
Date: 6, I �m -2,5
11 Acctg 1:1 Dept 11 TT 1:1 Navi 11 TS [] NT
Revised 07/08/25