HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Section iL - Core Employee Data (All sections required to be filled out)
Empl#: 5903
Legal Name: Blair, Any Lynn
-----
Effective Date: 10/27/24
SeCtiOn
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2 - Employee Data (Only required for new/separated
employees & address changes)
Item
Current Data
1
Vetvfflianging Data
Of 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) (tip tO 2) ----- -
Attendance - Leave Data
�eTaration Data
Wage Change - Adjustment
A
A
Start Date oo/oo/oo
I Stop Date o0/Coo /00
Type
A
Reason
A
IE lig iblefor Rehire - Dept A
Section 4 - Comments (for Separations, list the last day1date of pay)
Started at a step 1, should have been a step 2. Please retro the difference.
Section 5 - Core Items - Current Data
Section 6 - Core Items - Changing Data
Item
All Cu ri -en t Data is Required '
Only Clianginred
g Data is Requi
Dept# - Dept
A Sheriffs Office-oo1114
A A
Jo -,fob Title
114-04-Civil Specialist
000-00-<Enter Title>
Hire - Position
07/06/21- 10/27/24
00/00/00 - 00/00/00
Grp# - Name
TOE. -Sheriff Support
A
Employee Type
Full Time Regular
A
Base Wage
$29.22 Hourly
$30.10 Hourly
5/2
Band / Step
5/1
-Stipe-nd
$00.00 <Select Type>
$00.00 <Select Type>
Pay Type/FLSA
Non -Exempt — Salaried (SALYNE)
A
FFE
-Workweek
1.0 (40 hrs/-vvk)
Standard Sun -Sat
A
A
SPStiOn 7 - Authorizing Signatures
Department: Date- 61
Human Resources: Date:
Eligiblefor Rehire - County
Board Approval Required n Not Required
Chair:
,Af
Vice -Chair: Date: o4
Member: sr V
a&-& W*av vpwazy
NG kTT &-PAR 1:1 CMT 0 LXP 711-9 0 ACCTG F-I DEPT 0 1711--lNaki F-I TS FlNT F-1 DRS 71HEQ
Revised 10108/25