HomeMy WebLinkAboutPersonnel Action Request - Human Resources (002)PERSONNEL ACTION REQUEST (PAR)
----- - Section i — Core Employee Data (All sections required to be filled out)
Empl#: 5903
Legal Name: Blair, Amer Lynn
Effective Date: 11/09/25
Section 2 — Employee Data (Only required for new/separated
employees & address changes,LA
;
"
Item
Current Data
NewlChanging Data
Name E"xga'
0 Preferred
Address
Telephone
(000) 000-0000 ext.
(000) 000-0000 ext.
SS# - Birthdate
000-00-0000 — 00/00/00
Section 3 —_Requested Action
AcYQ�(S) �(U to �)....
Attendance - Leave Data
Separation Data
Wage Change - Adjustment
A
A
Start Date oo/oo/oo
1 Stop Date 00/oo/00
Type
Reason
Eligiblefor Rehire - Dept
Section 4 — Comments (for Separations, list the last da'y/date RfpAy)_
Started at a step 1, should bave been a step 2. Should now be a step 3. Please update her rate of pay
and retro the difference.
Section 5 — Core Items — Current Data
Section 6 — Core Items — Changing Data
gi _
Item
All Current Data is Required
—
Only Changing Data is Required
Dept# -Dept
Sheriffs Office-oo1114
A A
Job# -Job Title
114-04-civil Specialist
000-00-<Enter Title>
Hire — Position
o7/o6/21- 10/27/24
00/00/00 - 00/00/00
Grp# - Name
Tod. -Sheriff Support
A
Employee Type
Full Time Regular
A
Base Wage
$30.88 Hourly
$31.78 Hourly
Band f Step
5/2
5/3
Stipend
$Oo-Oo <Select Type>
$00,00 <Select Type>
PayType/FLSA
Non -Exempt — Salaried (SAL TE)
A
FF'r-,
1.0 (4o hrs/wk)
A
Workweek
L-Standard Sun -Sat
A
Seion 7 —Auffiorizjag Signatures
Department: Date:
Human Resources: Date:
Eligiblefor Rehire - County A
Board Approval Required E]Net Required
chair:
Vice -Chair: Date:
Member: Al
UR use only I
0 NG V TT VLPAR F-I CNIT 17 LXP El 1-9 El ACCTG 0 DEPT El TT EIN,-Li'%i 0 TS IONT 0 DRS OHEQ
Revised 10/081125