PPM 5210 610 PA FORM V0

OHC - Print Hire Form

10/9/2018

Additional Information

Prepared By Linda Tillmon

Working Title Water Operations Mascot

Account Code (no dashes) 00000000000000

Prepared By Phone Number 9199963474

Current Employee ID Number N/A

Current City Employee No

Date of Birth mm/dd/yyyy

Gender Male

Highest Education Level SSN (no dashes) D-Some College

Marital Status Unknown

Home Email

Home Phone (no dashes) Ethnicity

White/Non-Hispanic

No1_Hydrant@gmail.com

9195551913

Action Type Hire

Military Status No Military Service Position Number (8 DIGITS) 00000000

Action Reason Hire

Division(Department) PU Admin- 5210

Department(Business Unit) Public Utilities - 7000

Work Location PU Service Area

Supervisor Employee ID# (6 NUMBERS) 000000

Job Code 00000

Supervisor Name Ian Hendren

Regular/Temporary Regular

FT/PT FullTime

Supervisor Position # (8 NUMBERS) 00003443

Exempt or Non-Exempt Non-Exempt

Employee Type Employee Salary Admin Plan General Steps 80

Pay Plan Gen Pay Plan 5 80

Pay Group Public Utilities

Transfer or Promo,% of

Hourly_Rate $XX.XXXXXX $$.$$$

Step (0 For Broadbands)

Change(Broadbands only) N/A

PT Check Locations N/A Work Schedule/Shifts Mon-Fri

New Salary- Retirement Code Transfer/Rehire/Promotion General Employee N/A

Daily Work Hours 8

Overtime? Pay

Pay Period Hours 80.00 Time Approver Name Robert Massengil

Clocker? No

Time Approver Position Control Number

Time Approver ID

50