HomeMy WebLinkAboutPersonnel Action Request - Development ServicesPERSONNEL ACTION REQUEST (PAR) 5
Section i - Core Employee Data (Current Data Required)
Empl#: 4511
Legal Name: Jerry Bessett
Effective Date: 02/01/)Oq�
Section 2 - Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name El Legal
❑ Preferred
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
( ) - ext.
SS# - Birthdate
000-00-0000 — 00/00/00
000-00-0000 — 00/00/00
Section g - Requested Action
Action(s)
Leave Data
Separation Data
Wage Change - Step Increase
^
^
Start Date oo/oo/00
Stop Date 00/00/00
Type
^
Reason
^
Eligible for Rehire ^
Provide Details o Separation Below
Section 4 - Comments
Section g - Core Items (Current Data Required)
Item
Current Data
New Data
Dept#-Dept
Dev Services-Bldg Fire-138116 ^
^ ^
Job#-Job Title
116-27-Bulding Safety Specialist 4
000-00-< Enter Title>
Hire — Position
o6/05/o6 - 01/19/17
00/00/00 - 00/00/00
Grp#-Name
Aol-Courthouse
^
Employee Type
Full Time Regular
^
Section 6 - Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$36.25oo Hourly
$37.1900 <Select Cycle>
Band / Step
17/05
17/o6
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Non-Exempt — Salaried (SALYNE)
Non-Exempt — Salaried (SALYNE)
FTE
1.0 (4o hrs/wk)
1.0 (4o hrs/wk)
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun-Sat
Standard Sun-Sat
Section 7 - Authorizing Signatures
Department:Date:
Human Resources: Date:
Board Approval ❑ Required Not Required
Chair:
Vice-Chair: Date: 2 t o`de�
Member:
Revised 01/09/19