HomeMy WebLinkAboutPersonnel Action Request - BOCCPERSONNEL ACTION REQUEST (PAR)
Section 1— Core Employee Data (Current Data Required)
Empl#:
Legal Name: Flynn, Janice Kaye
I Effective Date: 11/16/20
Section 2 — Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name ® Legal
C1 Preferred
� Fl n7 J Janice Kaye
<Enter>
Address
334 Roack Creek Street NE
Royal City, WA 99357
<Enter>
Telephone
(000) 000-0000 ext.
( ) - ext.
SS# - Birthdate
535-78-9464 — 01/02/62
000-00-0000 — 00/00/00
Section g — Requested Action
Action(s)
Leave Data
Separation Data
New Hire
^
^
Start Date oo/oo/oo
Stop Date 00/00/00
Type
^
Reason
^
Eligible for Rehire ^
Provide Details of Separation Below
Section 4 — Comments
Section 5 — Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
Commissioners' Office-oo1101
^ A
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 — Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$4,191.20 Monthly
$oo.00 <Select Cycle>
Band / Step
10/01
/
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Exempt (SALRYE)
^
FTE
1.0 (4o hrs/wk)
^
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
^
Section 7 — Authorizing Signatures
Department: Date:
Human Resources: Date: i
Board A - uire N Re ' C/
Approval � ��"�q ued
� q
Chair: fil
Vice -Chair:" Date:
Member:PECEUVED
DEC
d 08/24+020
L ;RANT COUNTY COMMISSIONERS]