HomeMy WebLinkAboutPersonnel Action Request - BOCCPERSONNEL ACTION REQUEST (PAR)
Section 1— Core Employee Data (Current Data Required)
Empl#: 3765
Legal Name: Lutz, Brittany Eileen I
I Effective Date: 10/29/23
Section 2 — Employee Data (Required for New hires, Separations, or if Changing)
Item
Current Data
New Data
Name 'Legal �
11 fe
<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
Position Change - Promotion
^
^
Start Date oo/oo/oo
Stop Date 00/00/00
Type
^
Reason
^
Eligible for Rehire ^
Provide Details o Se aration Below
Section 4 — Comments
Section 5 — Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
Commissioners' Office-oo11o1 ^
Commissioners' Office-oo11o1 ^
Job# -Job Title
101 -17 -Deputy Clerk of the Board i
101 -18 -Deputy Clerk of the Board 2
Hire — Position
10/16/13 - 09/13/21
lo/16/13 - 10/29/23
Grp# -Name
Nos -Non -Exempt
Nos -Non -Exempt
Employee Type
Full Time Regular
Full Time Regular
Section 6 — Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$28.02 Hourly
$29.07 Hourly
Band / Step
8/4
10/2
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
A
^
FTE
A
^
FTE—GrIS Only
<Enter>
<Enter>
Workweek
A
^
Section 7 — Authorizing Signatures
Department: Date:
Human Resources: �, j,1 �r� / Date: {
Board Approval El Required ❑ Not Required
Chair:
Vice -Chair: Date: p a3
Member: lie,