HomeMy WebLinkAboutPersonnel Action Request - Public Works (002)PERSONNEL ACTION RE UES` (PAR)
Section i - Core YTRloyee-Data (Current Data Reqnired)
Empl#- 1363 Legal Name .- MASSEY, TIMOTHY M. Effective Date: ol/ol/22
Section 2 — KwA Data d -for New Hiresr Separations or if Ch
_poyee (Re
Item rrent Data New Data
Name 0 Pref6rred Timothy M. Massey <Iter>
IJ
Address
Telephone ext,.
SS# Birthdate 000 00-010000 — 00/00/0o
SectiOn 3 - dAction
Action(s) Leave Data Separation Data
Wage Change -Adjustment A Type Reason
Start. Date. oo/oo/oo A, A
A Stop Date 00/o.o/oo EligibleforRehire A
Provide Details et�e
�aration.Below
Sermon 4 - Comments
Provide a$200.00per month, stipend for obtaining. and maintam'' Ing bfidge 'inspectors certifications.
Revised 07111 Or 19
Seetion 5 - Core items (Current D Reqtdired)
Item
1�
Current Data
New Data
Dept# -Dept
A PUbliC Works-imolo A A
Job -Jeb T itle
189 -36 -Road Foreman
Hire — Pos' on
iti
07/02/01 - 0-1/27/20
Grp -1`
NO3:-Manager-Supemsolrl A
Employee Tie
Full Time Regular A
Section 6 - Secondary Items, (Required
only ff Changing)
Item
Current Data
New Data
Base Wage
IN <Select Cycle
< elect Cyele>
Band / Step
/
/°
Stipend
$,w.0000 Other
$2.00.0000, Other
Pay Tye/FLS .
Non -Exempt — Sal aried (SALYNE)
A
FTE
1.0 (40.hrs/wx)
A
FTE—GrIS Only
<Enter>
<E ter
Workweek
Staiadard Sun -Sat
A
n Seeti9VL 7 - Authorizing, S!Ratures
Department:
Human Resources
BoardApprovaIN R
Chair,,, VSII equired Not Re ,,.,Iired
Vice-Chal'r:
Member: N A
Date:
Date: /( Y0,
Date:
Revised 07111 Or 19