HomeMy WebLinkAboutPersonnel Action Request - Superior CourtPERSONNEL ACTION REQUEST (PAR)
Section 1 — Core Employee Data (Current Data Required)
Empl#: 5668
Legal Name: Middleton, Thomas W
I Effective Date: 01/01/20
Section a — Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name ° Legal<Enter>
❑ Preferred
Address
<Enter>
Telephone
(000) 000-0000 ext.
( ) - ext.
SS# - Birthdate
000-oo-0000 - oo/oo/oo
000-00-0000 - 00/00/00
Section 3 — Requested Action
Action(s)
heave Data
Separation Data
Other (Pro -Ode Comments)
A
^
Start Date oo/00/00
Stop Date oo/00/00
Type
A
Reason
I A
Eligible for Rehire A
Provide Details o Se aration Below
Section 4 — Comments
Position change from part time regular to full time regular as approved via the approved 2020
budget/departmental request. No change in position date; assigning new job code # for full time
position only. No change in base wage.
Section 5 — Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
^ Superior Court-oo1103
^ ^
Job# -Job Title
103-o8-sC Commissioner, PT
103 -11 -SC Commissioner
Hire — Position
12/18/17- 12/18/17
12/18/17- 12/18/17
Grp# -Name
No8-Unique Scales
^
Employee Type
Part Time Regular
Full Time Regular
Section 6 — Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$oo.00 <Select Cycle>
$oo.00 <Select Cycle>
Band / Step
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
FTE
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Section 7 — Authorizing Signatures
Department: Date:
Human Resources: Date: 1(�
Board ApprovaltRRequiredEl Not Requir
Chair:
Vice -Chair: Date: l Zo
Member:
Revised 09/23/19