HomeMy WebLinkAboutPersonnel Action Request - BOCCPERSONNEL ACTION REQUEST (PAR)
". Section x- Core Employee Data Current Data Required
-
_
Empl#: 4842
Legal Name: Hammond, Jill
Effective Date: 02/01/19
Section 2,- Eiti la ee'Data (Required for New hires; Separations, or if Chaff" " g)
Item
Current Data
New Data
Name °Legal
O Preferred
<Enter>
Address
<Enter>
Telephone-
ext.
SS* -Birthdate
o00-00-0000 — 00/00/00
000-00-0000 — 00/00/00
......... .
Section S --Requested Action
Action(s)
Leave Data
Separation Data
Wage Change - Step Increase
^
Start Date oo/oo/00
Stop Date 00/00/00
Type
A
Reason
Eligible for Rehire
Provide Details of Se aration Below
Section —Comments s
Section 5 -Core Items (Current Data R aired)
Item
Current Data
New Data
Dept# -Dept
Commissioners' Office-ooilol ^
A
Job# -Job Title
101 -04 -Admin Services Coordinator
000 -00 -<Enter Title>
Hire — Position
05/12/08 - 02/ol/18
00/00/00 - 00/00/00
Grp# -Name
N04 -Exempt
Employee Type
Full Time Regular
Section 6 —secondary Items (Required only if Chan 'ngj
Item
Current Data
New Data
Base Wage
$4,586. Monthly
$4,7o6.0000 Monthly
Band / Step
10/05
io / o6
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Exempt (SALRYE)
Exempt (SALRYE)
FTE
1.0 (4o hrs/wk)
1.0 (4o hrs/wk)
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
Standard Sun -Sat
Seetion�—Authorizingsignat res :
Department: / Date:
Human Resource : Date, -
Board Approval Required ❑ Not Required
Chair:
Vice -Chair: s . Date: Z 2
Member:
Revised 01/09119