HomeMy WebLinkAboutPersonnel Action Request - BOCC (002)PERSONNEL ACTION REQUEST (PAR)
Section 1- Core Employee Data (Current Data Required)
Empl#:
Legal Name: ROBERT JONES
I Effective Date: 01/01/21
Section 2 - Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name ° `
® Preferred
Rob Jones
Address
10259 Road 5.7 NE
Moses Lake, WA 98837
Telephone
( ) -0000 ext.
(509) 990-4544 ext.
SS# - Birthdate
000-oo-0000 — 00/00/00
533-11-8204 — 03/05/87
Section g - Requested Action
Action(s)
Leave Data
Separation Data
New Hire
A
^
Start Date 00/00/00
Stop Date 00/00/00
Type
A
Reason
F -
Eligiblefor Rehire n
Provide Details o Se aration Below
Section 4 - Comments
Elected County Commissioner District #2
Section 5 - Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
^ ^
Commissioners' Office-oo11o1 ^
Job# -Job Title
-
101 -02 -County Commissioner District 2
Hire — Position
-
01/01/21- 01/01/21
Grp# -Name
A
Not -Elected Official
Employee Type
A
Full Time Regular
Section 6 - Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$oo.00 <Select Cycle>
$8,435.17 Monthly
Band / Step
/
1/ 1
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
A
Exempt (SALRYE)
FTE
A
A
FTE—GrIS Only
<Enter>
<Enter>
Workweek
A
Standard Sun -Sat
Section 7 - Authorizing Signatures
Department: Date:
Human Resources: ✓, Date: 12/01/20
Board Approval t R'' fired `' No'e uir I
Chair:
Vice -Chair: Date: _
Member:
RECEIVED
DEC Revised 08/24/2020
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