HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Section 1-- Core Employee Data (All sections required to be filled out)
Empl#: 6320
Legal Name: Mulallev, Chase Irven Eugene
Effective Date: 022/110/25
Section
2 — Employee Data (Only required for nevv/separ-
ted employees & address changes)
Item
airrent Data
NewlChanging Data
Name0 Preferred
Address
Telephone
(000) 000-0000 ext.
(000) 000-0000 ext.
SS# - Birthdate
- L
000-00-0000 - 00/00/00
Section 3 — Requested Action
Action(s) (qp to 2)
Attendance - Leave Data
SeParation Data
Wage Change - Additional Pay
A
A
Start Date oo/oo/oo
Stop Date ooloo/oo
--------- -
Type
A
Reason
I A
1 Eligiblefor Rehire - Dept
Sec
Assigned to Graveyard. The graveyard stipend was missed, please pay retro.
Section 5 — Core Items — Current Data
Section. 6 — Core Items — Changing Data
Item
All Off rent Data is Required
Only Changing Data is Required
Dept# -Dept
A Sheriff s Office-Correct*'Ons-001115
A A
Job# -Job Tide
115-13-Corrections Officer 1
000-00-<Enter Title
Hire - Position
02/10/25- 02/10/25
1
00/00/00 - 00/00/00
Grp# - Name
T02-Corrections
A
Employee Type
Full Time Regular
A
Base Wage
$S4.66 Hourly
$
$34.66 Hourly
$35-35
Band / Step
1/ 1
Stipend
$oo.00 <Select Type>
$oo.00 <Select Type>
PayType/FLSA
Non -Exempt - Salaried (SALYNE)
A
FTE
1.0 (4o hrs/wk)
A
Workweek
Standard Sun -Sat
A
Section 7 — Authorizing Signatures
Department: Date:
Human Resources: Date:
Eligible for Rehire - County A
Board Approval Required [] Not Required
Chair:
Vice -Chair: Date:
Member:
W-I M Usc -Unty
F-1 NG � Tr NJ PAR tCMT D LXP F] 1-9 F-1 ACCTG 11 DEFT F-1 IT E]Navi 10 TS RNT 0 DRS DHEQ
RECEIVED
Revised 10108125
GRANT COUNTY COMMISSIONERS