Job Title |
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Create New |
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Job Class |
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Project Employee |
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Recruitment/Search (if applicable) |
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Name of Employee Being Replaced (if applicable) |
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Position Number/Suffix |
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Create New Position # |
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Job Type |
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Project Employee? |
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ACTION: Create |
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ACTION: Update |
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ACTION: Terminate |
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ACTION: Other |
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1st Job Begin/Change Date |
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1st Job End Date |
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2nd Job Begin/Change Date |
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2nd Job End Date |
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PEBB Benefits Eligibility Criteria |
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Reason for Action/Comments |
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E-sign URL |
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Enter pay for one of the 4 time periods listed below: | |
Salaried |
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Annually (12 mo) |
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Monthly |
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Other |
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Appointment Percentage |
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Appt Length |
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Annual FTE |
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Grade/Range (Classified Only) |
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Step (Classified Only) |
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1.0 FTE Salary (Optional) |
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Select Payment Type: Hourly | |
Hourly Rate |
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Range (Classified Only) | |
Step (Classified Only) | |
Select Payment Type: Non-Uniform |
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Amount |
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Select Payment Type: One-Time Payment |
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Hours Worked |
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Payment Amount |
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Payment Type |
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Time Sheet Organization Code |
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Time Entry Method |
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Exception Default Approver ID# |
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Approver Name |
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Approver Position # |
|
FYI ID# |
|
FYI Name |
|
FYI Position # |
|
Enter pay for one of the 4 time periods listed below: | |
Salaried |
|
Annually (12 mo) |
|
Monthly |
|
Other |
|
Appointment Percentage |
|
Appt Length |
|
Annual FTE |
|
Grade/Range (Classified Only) |
|
Step (Classified Only) |
|
1.0 FTE Salary (Optional) |
|
Select Payment Type: Hourly | |
Hourly Rate |
|
Range (Classified Only) | |
Step (Classified Only) | |
Select Payment Type: Non-Uniform |
|
Amount |
|
Select Payment Type: One-Time Payment |
|
Hours Worked |
|
Payment Amount |
|
Payment Type |
|
Time Sheet Organization Code |
|
Time Entry Method |
|
Exception Default Approver ID# |
|
Approver Name |
|
Approver Position # |
|
FYI ID# |
|
FYI Name |
|
FYI Position # |
|
Enter pay for one of the 4 time periods listed below: | |
Salaried |
|
Annually (12 mo) |
|
Monthly |
|
Other |
|
Appointment Percentage |
|
Appt Length |
|
Annual FTE |
|
Grade/Range (Classified Only) |
|
Step (Classified Only) |
|
1.0 FTE Salary (Optional) |
|
Select Payment Type: Hourly | |
Hourly Rate |
|
Range (Classified Only) | |
Step (Classified Only) | |
Select Payment Type: Non-Uniform |
|
Amount |
|
Select Payment Type: One-Time Payment |
|
Hours Worked |
|
Payment Amount |
|
Payment Type |
|
Time Sheet Organization Code |
|
Time Entry Method |
|
Exception Default Approver ID# |
|
Approver Name |
|
Approver Position # |
|
FYI ID# |
|
FYI Name |
|
FYI Position # |
|