HomeMy WebLinkAboutPersonnel Action Request - BOCC (002)PERSONNEL ACTION REQUEST (PAR
,. Section x Core:Em to ee Data Current :D
p _ Y _ ata,Required) :.
Empl#: 5835
Legal Name: FLYNN, JANICE
Effective Date: 03/16/21
/
Section 2 ^ Em to e
p y e Data (Required for New:Hires Se arations oraf.Chan 1n
P g g)
Item
Current Data
New Data
Name ❑Legal
❑ Preferred
< Enter >
Address
<Enter>
Telephone
(000) 000-00oo ext.
( ) - ext.
SS* - Birthdate
000-oo-0000 — oo/oo/oo
000-00-0000 — 00/00/00
S =
ection Re u
3 q ested Aetlon
Action(s)
Leave Data
Separation Data
Wage Change - Adjustment
^
Type
Reason
Start Date oo/oo/oo
^
^
^
Stop Date 00/00/00
.Eligible for Rehire ^
Provide Details o Separation Below
.s. _
ection 4 -: Comments
,-
_Section .,Core Items Current Dat
5 ; ,, - a_ equine
Item
Current Data
New Data
Dept#-Dept
Commissioners' Office-oo11o1
^ ^
Job#-Job Title
101-04-Admin Services Coordinator
000-00-<Enter Title>
Hire — Position
11/16/20- 11/16/20
00/00/00 - 00/00/00
Grp # -Name
N04-Exempt
^
Employee Type
Full Time Regular
^
=
Section 6 Seconda Ite ms .; Re wired onl Yf, Chan
i"S' q y _ ging) ;
Item
Current Data
New Data
Base Wage
$4274.40 Monthly
$4,657.47 Monthly
Band / Step
10/01
10/04
Stipend
$00.0000 <Select Type>
$00-00oo <Select Type>
Pay Type/FLSA
Exempt (SALRYE)
^
FTE
1.0 Coo hrs/wk)
^
FTE—GrIS Only
< Enter>
< Enter>
Workweek
Standard Sun-Sat
^
-
Section = A' h r ,
_ t on Si natures
7 g g
Department:
Date:
Human Resources: Date: 03/02/21
K•
Board ApprovalReq wired [71 Not Re it f _
Chair:
s
Vice-Chair-,Date:
•
03/02/21
Member:
nf
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MAR - 3 2021 Revised 08/24/2020