HomeMy WebLinkAboutPersonnel Action Request - Public Works (002)YERSX01NNEL ACTION RE QUEST( ----------
Section 1- Core Employee Data (rent Data Required)
EMpl#: 5639 Legal Name: ZEPEDA, EVELY-i�,,T
Effective Date'- 04/05/21
Seeden2-
Item - -------- Data
NameEvelyn Zp<Enter>
Address <Enter>
Telephone ext,
SS# - Birthdate 1,117/82 000-00-0000 — 00/00/00
Section, 3 - Requested Action
- ----- - Action(s) Leaue Data Separation Data
---- --------- -
— ------ _ - ----------
A
Vide Comments
Other (Pro.
Type
Reason
A StaTt Date oo/00/00 A A
Stop D A
ate 00/00/oo Eligiblefor Rehire
S�etion 4 - Comments Provide Details ef ration Below
Stipend - Per Pay Period
- -- -- -----
—
- - ---- Seclion .5 Core Iter (Cnrre . ut __ Data Required)
Item Current Data, New .Data
Dept# -Dept A
Solid Waste A A
-40140,1
job# -Job Title 198-11-SVV Accounts Receivable 000-00-<'Rnter Title>
Hire — Posi
. ......... .. ition 07/03/17, 11/24/19 0010000 - 00/00/00
Grp -N mA04-Public Works A
Tnl#
-Employee Typer
--.--,, Full t-ime Regular A
Section 6 — Secondary.1tems �Re ed only if ChanE�ng)
- ------- --- _quir.' o
M
Current a'
New Data
7
Base Wage $00.00 <Select Cycle>
- -------- $00.00 <Select Cycle>
-Band / Step
-Stipend $16o.0000 Other $00.0000 <Select --- Type>
-Pay Type/FLSA A
---------------
A A
FTE- GrIS Only <Enter> <Enter>
Workweek A A
--- ------------ -
Department:
Human Resources,:
VA
67
Board Approval R ir,
t Reh
Chair,
-------- --
Vice-Chair,
Mirk
Date... _WV.2
01
Date,,4/0912
Date: 4, X,
Revised 07/10.19