HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR.)
Section j- — Core Employee Data (All sections required to he filled out)
Ernpl#: 5885
Legal Name: Anderson -Coop, James Donald
Effective Date: 01/04/26
Section 2 - Employee Data (Only required for new/separated employees & address changes)
Item
Current .Data
NewlChangrng .Data
Name [J Legal
0 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) (u to
Attendance - Leave .Data
Separation Data
Position Change - Transfer/Location
A
^
Start Date o 0/o 0/ o o
Stop Date o0 oo/00
Type
"
Reason
A
Eligible for Rehire - Dept A
Section 4 — Comments (for Separations,li t the last day1date of a
Jim's payroll department has changed from. Development Services -Planning 0o111 budget TO
Development Services -Bldg Fire 138116 budget.
This is for payroll/budgeting purposes only no other changes on this PAR.
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
Dev Ser ices-Planning-oo1111 ^
Dev Services -Bldg Fire-138116 n
Job # -Job Title
111-14-Director of Development SeMe
-
Hire -- Position
05/24/21- 03/02/25
-
rp# - Name
Noe -Department Head
A
Employee Type
Full Time Regular
"
.Base Wage
� 1o,,�g2.40 Monthly
$61-11
Hourly
Band / Step
22 / 2
/
Stipend
0000 <Select Type>
$oo.00 <Select Type>
Pay Type/ FLSA
Exempt (SALRYE)
^
FTE
1.0 (4o hrs/k)
^
orkN�eek
Standard Sun -Sat
^
Section 7 — Authorizing Signatures
Date. �- � ��.
Department: ,-4 } (,e
Human Resources: Date:
Eligible for Rehire - County n
Board Approval )Required El Not Required
Chair:
Vice -Chair: Date: 3
Member:
HR use one
❑ NG lW TT 91 PAR 93 CMT ❑ LXP ❑ I-g La'ACCTG D'15EPT U--TT Ravi ❑ TS ONT F� DRS F1HEQ
Revised 10/08/ 5