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Personnel Action Request - Human Resources
PERSONNEL ACTION REQUEST (PAR) Section i - Core Employee Data (All sections required to be filled out) Empl#: 3810 Legal Name: Gaines, Thomas A. Effective Date. 01/04/26 Section 2 - Employee Data, (Only required for new/separated e,Tployees & address changes) Item Current Data NewlChanging Data Name © Legal © Preferred Address Telephone (000) 000-0000 ext. (000) 000-0000 ext. SS# - Birthdate — 000-00-0000 — 00/00/00 Section 3 - Requested Action Action(s) (up to 2) Attendance - Leave Data Le aration Data Position Change - Promotion A A Start Date oo/oo/oo Stop Date oo/oo/oo Type A Reason A .Eligible for Rehire -Dept A Section 4 - Comments (for Separations, list the last day/date of pay) Tom has been Interim County Administrator since August 09-2025. BOCC is fully promoting Tom as County Administrator. Starting at Stlep-26 bid 2and will receive wage increase at i year. Section 5 - Core Items - Current Data Section 6 - Core Items - Changing Data Item All Current Data is Required Only Changing Data is Required Dept# -Dept Commissioners' Office-001101 A A A Job# -Job Title 10 1- 25-County Administrator 000-00-<Enter Title> Hire — Position 07/22/13 - 09��� �- 01 a112001 07/22/13 - 01/04/26 Grp# - Name NO2-Department Head A Employee Type Full Time Regular A Base Wage $13,095.33 Monthly $75-55 813,488.8o Monthly $77.82 Band / Step 26/1 26/2 Stipend $oo.00 <Select Type> $oo.00 <Select Type> Pay Type/FLSA Exempt (SALRYE) A FTE 1.0 (40 hrs/wk) A Worlmreek Standard Sun -Sat A Section 7 - Authorising Signatures Department: Date: Human Resources: Date: L Eligible for Rehire - County A Board ApproNral M Required ❑ Not Required Chair: - Vice -Chair: Date - df Member: HR use ottly El NG N T7 0 PAR 17X CMT ❑ LXP ❑ 1-9 a/ACCTG O'DEPT,94T ONavi ITS tJ' 3/ RS Fl�r� Revised 10/08/25