HomeMy WebLinkAboutPersonnel Action Request - Public Works--- ------------------- - ---------- - ----------------------- - - - - - - - --- -- ---------------- - ----------- -------------------
PERSONNEL ACTION REQUEST (PAR)
Section i —Core* Employee Data (rent DataRe i ed)
CIUIX
Empl#: o617 Legal Name: DART, SAMUEL P.ffective Date: 05/01/22
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e ioxi 2 — Employee Data (Reqwired for New, Hires, Separations, or if Changing)
Item Current Data New Data
0 1,e
Name rd. Samuel. P. Dart <Enter>
Prefere
Address
Telephone 2 -
(509) 89'0356 ext.
SSS` - Birthdate 000-00-0000 — 00/ 00/00
Section __Requested Action
Action(s) Leave DataSeparation Data
Other (Pry'' de Comments) A Type Reason
Start Date oo/oo/oo A A
A Elft I f P.,R eiehi-re, A
Stop:Date oo/oo/00 Vib e.
Pro VIVe . Details d �pa n Below
t fS iritio
a
Section 4 C6mments
Emlo yee wa s, -h d in le s thanl2month 'after 8 ep "o r%inal hire date/1tre ire s arati A., 0,/2008-
s
2 eparat ed on 05/ '6/15- Re-h*red on lo 12/20.15 to current Change Annual Accrual rate from 11.34
hours per month to 14.67 hours per month. Including .r accrued retro back to 10/12/20'15. No
'loss of total years worked.
Section -s-7 Core Items (Current Data ReqHar ed)
Item Current Data New Data
Dept #-De Public Works-io1050
A
pt
Job# -Job Title ist. ublic. Works Director
189 - 04 -Ass " P
Hire — Position 10/12/15- 05/04/20
A
Grp# -Name No3-Man,ager-Supervisor
.06
A
Empl9yee Type Full Time Regular
Section 6—,Secondaryltems (Required o yitChanging)
Item Current Data New Data.
Cycle>
'Base Wage Select yc1lcte>
Band / Step
Stipend $oo,,00oo <Select Type,> $oo.0000 <Select Type>
Pay Type/ "LSA 'A A.
FTE A A
FTE-- rI Only <Enter> <Enter>
Workweek A A
e�9_e�ft 7 — AuthorWng SignatureS
Department:
Date:
Human Resources:Date
11 :
&1 1 U
Board Approval Required Not Required
Chair:
Vice -Chair: Date:
Member: . . . . . . .
Revised 07/10/19