HomeMy WebLinkAboutPersonnel Action Request - BOCCPERS EL ACTION RE UST (PAR
Section i -- Cure Employee Data (Current Data Required)
#: Legal Name: Flynn, Janice Effective Date: 1 /2 5/22
8eCdOn 2.- Exn.pl yee Data (�equl-red for New-i=n-resi-n-res Separations, or If2:a iii �
Item
Current Data
New Data
N (A Preferred refe
< Enter >
Address
< Enter>
Telephone
(000) 000-0000 ext.
- ext.
SSS' - Birthdate
Ooo-00-0000 — oo/oo/oo
00O--00-0O00 — 00/00/00
Sectio 3 — Requested Action .
Action(s)
Leave Data
Separation Data
Other (Provide Comment,-')
A
!,
A
Start Date o0 00 00
Stop Date 00/oo/oo
Type
Reason
A
hoiblefor Rehire A
Provide Details 2f Le aration Belo
+ onimex
Add1 ,Q00 Stipend for Lid e -rQ ram duties. �}epartment will need to submit a close, P R.
,..,. ........w.. ,.....r......,.ri... »,,a,..,.,,,.,,«mM.h..t r r+a--r.--.,..H.r,« - ..,,...,,•..,.,,..,...;.. A .a.,w....k... ..»>...-. '>+..s -
� "
' R .. roup 77
Gr�- . } 04
N04 Exempt 10 84,891.47 $5,038.80 $ 5,184AD $5,330.00 $St473.87 5,81 6.00 $5756.40
12,000.00 $1,000.00 $1,000,00 i t000.00 $1,000.00 1,000,OD $1,000.00 19,000.-oo
N08 Unique Scales 50 8 $5,891,47 $6t038.80 $6,184.40 $6,1330,00 $6,473.87 $6,616.00 $6,75,6.40
—..Core Items (Current Data. .lt.'#.i.`.quiA, ed) -
Item
Current Data. New Data
Dept -DeptCommissioners'
Job -Job Title
Hire Position
ffi c:e-oo 110, A A A
1,01-04-Admin Services Coordinator 000-00-<Enter Tit e>
11/1,6/20 - 11/16/2o 00/00/00 00/00/0+
Grp -Name
N04-Exempt e.mpt A
:employee Type
Full Time Temp
id Tte.nis.(ReqtAre, only,
d if Ch
Item
Current Data
New' Data
Base Wage
$5,6i6.00 Monthly .ly
$ Monthly
Band / Step
lo/o6
50/o6
Stipend.
$oo,0000 <SelectT pe>
$00.O000 <S lectTy
Fay Type/FL .A.
Exempt (SALRYE)
A
FTE
140 (40 hrs/)
A
FTE c rIS Only
<Enter>
Enter
Workweek week
Standard Sun-Sat
A
:Section. 7 -- Authorizing Si natures
Department: Date:
Human Resources. Datea 04/10/23
hoard Approval V Required Not Re uiie–T—
Chair: �
r
� F 4N�'f�}
Vice-Chair. Date. to- i +w
Membel •
Revised 11/8/2022