HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Section i - Core Employee Data (All sections required to he filled out)
Empl 5869 Legal Name: Arizi-nendi, Za\rUri Saledad Effective Date: 04/r7/22
Seef1011 2 — Employee Data (Only required for tiewlseparated employces & address
heat i Cu rrej z t Data Ne tvlChanyiny Dutu
Name
Address
Telephone woo) 000-0000 ext. (000) 000-0000_ ext. -------
SS# - Bilthdate 000-00-0000 — 00/oO/00
Secti0f) 3 - Requested Action
Action(s) (up tea 2) Attendance - Leave Data S (it ation Data Wage Change - Step I ticcease T"y P e Reason
A A
Stavt Date oo/oo/00 A ------------------------
A
/00/00 El iible r Rehire -Dept
Stop Date oo ic- fo
SectioLl 4 — Comments (for Separations, list then'-st dMIdate of I! -
,ilia from April 2022 to
6 month step was missed which gutallher perViOUS FARE off I Step, Start
October '202'
0
------ - ------ Section Core Iteims - Current Data Section 6 - Core Items - (1hatigInIlDatta-
ftent All Current Data Is Required Only Chan.ging Data is, Required
Dept g-Dept Public Defense-oo1133 A A
Joblox-Job Title 133-14-LCr,,1,'II Secretary i 000-00-<Rtiter Title>
_7
Hire - Position 04/1-2/21 - 10/16/21 00/00/Oo - 00/00/00
Grp# - Name Nos-Non-Rxempt -- ---- A
E mplovee Type Full Tine Regular A -
IA4
Base Wa e 1,50 M .8OIAIIIN' til 0 ,N�$3664.-27'lvlOnitll]-f�,,�l.---.��-�-"--,.,.�
S0-
Band /St'ep"" 05/1'
Stipend $oo.00 <Select Type> $00.0o <Select Ty-pe>
Pail Type/FLSA Non -Exempt - Salaried (SAL'
�_. _ � „____��_�
i` µ ,,1.0 (4o hrs/Nvk) A
workxveeR Standard Sun. -Sat A
4
section 7 — Xutliorizing sij,-natures
Ile 11
Department:
Human ResWrces:
Efigiblefin, Rehire - COUnty
Board Approval ORequired Not RecIiiired
Chair:
Vice -Chair:
Member:
Date: 3<
Date:
Date: _5.,IZ - 9424,
UR us-e ord
F-I NG 41 TT PAR C1 CNIT -1 LXP D [-9 ;D -kCCTG 01 DEPT E! TTIONa-6 ::I TS CITNT :] DRS C3 FIZQ
Revised 10i'W'25
PERSONNEL ACTION REQUEST (PAR)
Section t - Core Employee Dittat (AU sections required to be filled out)
Etiipl 5869 Lecral Name: Arizmendi, Zav-tiri Soledad Effective Date: to/ t6/22
Section Employee Data (Only required for new/sepni-ated eniployees & address chtwges)_
NMI Current Data NeLvil"Changing Data
Name
Acid ress
SS# - Birthdat e 000-00-0000 — 00/00/0 0
Wticre Change - Step Increase
SLarL Date oo/oo/oo A
Stop Date 00/00/00 Eligiblefor Rehire - Dept
SCetioll 4 - CoIllinents (for Separations, list the last tlav/date of pay)
6 month step was missed which putiall her pel-ViOLIS PARS off zSteo from April 2o-22Lo
October 2025 -
SCCU011 5 - Core Items - CurreliL Data Section 6 - Core Itenis - Changing Datit
Item
,
Hire — Position 04/ 12/921 - to/ 16/21 00/00/00 - 00/00/00
'
'
Employee TypeTFull Time Rea-Lilar
Base Wage $3,757.87 Monttilv
B and --/-Step,
Pav'I).Te/FL,9A Non -Exempt — Salaried (SALYNE)_
FTE 1.0 (40 1-irs/%vk)
Depaitment: Date:
Ehaffile for Rehire - County
Board Approval Reqtilred Not Required
Chair: k I-e
Vice -Chair: Date:
� ���
NG t TT J� P.A.R CMT D LXP CJ 1-9 D ACCTGrI__I DEPT 0 TT 0 NaNi C3 TS NT D DRS :1 HEQ
- - ------- ----- -
PERSONNEL ACTION REQUEST (PAR)
Section i — Core Employee Data (All sections required to be filled 0110
Empl#: 5869
Legal Name.- Arizmendi, Zay-uri Soledad
Effective Date: 1.0/29/23
S C C
H011 2 — Employee Datga (only required for new/st�pari ted einRloyees & address change-N-11
ftem
Dato KlewlChanying Dato
=a i ,=�4t1
Name 7113r4cmd
—Current
Address
Telephone
(000) 000-0000 ext. (000) 000-0000 ext.
SS# - Bifthdate
000-00-0000 — 00/00/00
SCCUOn 3 — Reqttwsted Action
Acdoli(s)fyp to
Attendance - Leave Data
Separation Data
Wage Change - Step Increase
A
Start Date oo/oo/oo
Date oo/00/00
Type Reason
A A
Eligiblefor Rehire - Dept
Sectiol, 4 — Coniments (for Separations, list the last dly/date of Pay)
6 month step Nvas missed which put all her perxrious PARS off i Step. Starting from April 9-09.9. to
October 9-02.5
SMUOII 5 — Core Items — Current Data Section 6 — Core Items — Changing Data
Ron
All Current Data is Required Only Changing Data is Required
Dept# -Dept
job -Job Title
A A
Public Defense-00113.3
133-14-Legcil Secretary 1 000-00-<Entev Title:
it*
s 1
Hire — Po011
04 1o/16/21 00/00/00 - 00/00/00
Grp# - Name
Nos -Non -Exempt A
Full Time RegUlar A
thly 4, 8
$4,187.73 Month1j. . C', 4,
4. t;?' $4,305.6o Mon
Employee T�Nrpe
Base. Wagre
Band /,Step
051,3 1. 05/4
Stipend
$oo.00 <Select Type> $oo.00 <Select T.ype>
Pay'�ype/FLSA
Non -Exempt — Salaried (SALYNE)
FTE
1.0 (4o hrs/wk)
A
Workweek
Standard Sun -Sat
A
7 Authorizin Signatures
Depaftment: Date:
Human Resources: Date:
Eligiblefor Rehire - County A
Board Approval Required Not Required
Chad':
- - -------- ---------------- ----------
Vice-Chair: Date: -17--2
Member:
.. .......... ------ - -------- - - -------------- ...... . --------- - ----- ------
NG it 7rk PAR 0 OWT El LXP 0 1-9 EJ ACCTG 1:1 DEPT '.] TT O_Nmi 0 TS :11NT 1-1 DRSOHEQ
I
Revi5ed M09!25
Eniplflrl: 9869
PERSONNEL ACTION REQUEST (PAR)
Section t — Core Employee Daut (All sections required to be filled out) — — ------- —
Le(yat Natile: Arizmendi, Zayuri Soledad Effective Date: 10/27/24
Section a — Employee Datit (Only required for new/separated employees &addrcss changes)
i
Current Data New/Otanying Dara
Name
Preferred
AM ress
Telephone (o0o) 000-0000 ext. (000) 000-0000 ext.
,SS# - BirthctaLe 000-00-0000 — 00/00/00
Seetioll 3 — Requested Action
ACHOPI(S) (Lip tO 2) Attendance - Leave Data Separation Datu
Wage Change - Step tncrease A ....... . --- Type Reason
A A
Start Date oo/oo/00
A rA
-.r Rehire Dept
t �
Stop Date 00/00/00 1giblefo
Section 4 — Cominciits (for Separations, IM the Inst day/date of payl
6 mon't_h step was missed Nvhich PLIt all her perviOLIS PARS off i Step. 'Startiticr from April 902� to
October20_05
Seedoll Core Items — Current Data
A.11 Current Data is Requiroid
Dept Dept
Public Defense-oolIO03 A
Job# -Job Title
133-14-Legal Seeretary i
1-4ire — Position
04/12/21- i0/i6/2.1
Grpt#' - Neame
Noor--Non-Exempt
Employee Type
Full Time Re(TbLItar
Sectiou 6 — Core Items — Changing Data
Only Changing Data is Required
A
000-00-<Enter *ritie>
00/00/00 - 00/00/00
A
Base Wane .. 72.00 M011thIV 2 S_ .8, (f $4,593,33 Monthly o 5
$44
B�n� %Step ��/
Stipend $oo.00 <Select Tyl)e> $oo.00 <Select Type>
Pay Tv-pe/ FLSA Non -Exempt — Salaried (SALYNE) A
FTE LO (4o hrs/�vk) A
Workweek Standard Sun -Sat
S6etion Atithorizims Signatures LL
Depaitment:
Human Resources:
Eligible for Rehire - County A
Board Approx,al O Repi'red F-I Not ReqUired
Chair:
Vice -Chair:
Member:
UR tusie Oultv
D NG �T` ' PAR. 1-1 GRIT -I LXP 1-9
Date:
Date:
Date:
-1 AC(:rG 19 INEPT 1:1 TT C]NaNi __:1 TS ONT -] DRS DHEQ
- - ---- PERSONNEL ACTION REQUEST (PAR)
Section i — Core Employee Daht (All sections required to be filled out)
EinpItt: 5869 Legal Name: Arizinencli, Zcavuri Suteclad Effective Date: 10/19/125
Section Employee Data (On[!jd cuiployces & address chunges)
Itc?171 Current Datu I New/lOicingirzy-MM j
Hanle -1
j pfurinj
AcIcIress
Telephone (000) 000-0000 ext. (000) 000-0000 ext.
SS*.* - Birtticlate, C)OO-00-0000 — 00/00/00
Section 3 Requested Action.
L Attendance -Leave Duty ,qeparation Dcau
A Ras
Wacre Change - Step finicrease Type eon
Stain Date 00/00/00 A
A
A Stop Date 00/00/_00 trVigiblefor Rehire - Dept
St'dioll 4 — Comments (for Separations, list the last dcLiv/datc- of
6 month step was missed which put rill her peVVIOLis PARS of i Step. Starting from April 2022 to
October `?o�5
Sectio" 5 — Core Items — Current Data Section 6 — Core Items — Chiulgill-K Datil
All Current Data is Reqtdred Only Chany-irig Data is Required
Dept * -Dept Public Defense-o41133 A _ A
Doll -Job -title 133-14-Le&d Secruhuy 1 [000-00-<L, nter,ritle>
Hire — Position 04/12/21 - io/ t6/21 00/00/00 - 00/00/00
H�
Grp # - Name No---Non-Exempt
Emplovee Tvve FUII "rime Reaular
�` 4�%3 -,Zj,PvI
S
Base Wacreb. $4,711.90 Monffity $ q7..t8
onthly 2:7 $. _�ai��l � 5��� C�";�f �
Stipend $oo,00 <Select Type>
PaV'rf� pe/FLSA Non -Exempt — Salaried S LSE)
FTE 1.0 (4o hrs/wk)
Workweek Standard Sun -Sat
Sme-flon 7 — Authorizing
Department:
Human Resources:
E10(iblefor Rehire - (bunti A
y
Board Approval LaRe(
Chair:
Vice -Chair;
Member:
UIR wqe ontv
0 NG t TT 'V' PAR C1 CMTO LXP 0 1-9
soo.00 <Select Type>
A
A
A
a t u r es
Date:
Date:
Date: �__ j;7 A
��j ACCTG � DEPT El qT,!1 Nc--M 0 TS ONT ID DRS 0 HEQ
Reviied 10.W.'25