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   \nFunding Source (10 digit General Ledger \\#):    \nDepartment: Soil Conservation Date Submitted:    \n\n| EMPLOYEE STATUS:  Interim/Acting |  |  |  |\n| --- | --- | --- | --- |\n| EMPLOYMENT ACTION: Suspension w/oPay Bonus\u003Cbr>EFFECTIVE DATE OF ACTION:   |  |  |  |\n| SALARY: | Current Annual Salary: Proposed Annual Salary: |   Grade \u003Cbr>  Grade  | Step  \u003Cbr>Step   |\n|  |  |  |  |\n| CLASSIFICATION: Current Classification:  \u003Cbr>Requested Classification:   |  |  |  |\n| LEAVE STATUS: Other\u003Cbr>If Other is chosen, please provide details.   Dates of Absence with Pay: Beginning:   Ending:   Dates of Absence without Pay: Beginning:   Ending:   |  |  |  |\n| CHANGES IN SITUATION:\u003Cbr>˜˜Name Change: ________________________________________________________________________________Address Change:   |  |  |  |\n\nREMARKS/JUSTIFICATION:  \n__________________________________________________________________________________________________  \n__________________________________________________________________________________________________  \n__________________________________________  \nDepartment Manager/Date  \n__________________________________________ ________________________________________  \nHuman Resources Department/Date County Manager/Date  \n\n| For use by HR department only | Keyed by:   Date:   |\n| --- | --- |\n\nLC-004  \nThis instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. By:   Sandra Barss, Finance Officer","cbCaikkRDoYsZ8Lr","https://ap.wps.com/l/cbCaikkRDoYsZ8Lr","pdf",180928,"English","# Employee Identification and Departmental Data\n## Employment Status and Action Details\n## Salary and Classification Updates\n## Leave Status and Personal Information Changes\n## Authorization and Fiscal Approval","[{\"question\":\"What information is required to identify the employee on this form?\",\"answer\":\"The form requests the employee's name and the last four digits of their Social Security number.\"},{\"question\":\"What types of employment actions can be documented using this form?\",\"answer\":\"The form allows for the documentation of actions such as suspension without pay and bonuses, along with changes to salary, classification, and leave status.\"},{\"question\":\"Who must sign the form to finalize the processing of the action?\",\"answer\":\"The form requires signatures from the Department Manager, a representative from the Human Resources Department, and the County Manager, with a final pre-audit signature by the Finance Officer.\"}]","Personnel Employee Action Form - 1 | PDF",1789853854]