Umd Cslr Personnel Action Form
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2UMD CSLR Personnel Action Form
Ready for "Prepare to Hire" Job Opening# __________
PERSONAL DATA
Name __________________________________________
Empl ID # _____________
Empl Rcd # ____
Last, First, Middle
(legal name as appears on Social Security card)
(Required on all but new hires)
ACTION/REASON
Effective Date
Action
Reason
1.
___________________
_______________
____________________________________
2.
___________________
_______________
____________________________________
3.
___________________
_______________
____________________________________
Leave of Absence
HR&EO to Enter Absence Event
Excused Paid
Excused Unpaid Details:
_____________
For Partial Days, # Hrs with Pay: ____
# Hrs without Pay: ____
Begin Date: __________ End Date: _________
JOB DATA
Work Location
Pri Job
Position #:______________
Job Indicator:
Dept ID:________
Sec Job
Expected Return Date: ___________
Expected Job End Date: ___________
Job Information
Empl Class:
LR-Trades
Civil Service
LR-Clerical
LR-Technical
LR-Police
LR-Service and maintenance
Job Code:_______
LR-Health Care
Std Hrs:_______
Job Labor
(LR, BU 03, 04, 06, 07 Only)
Seniority Type:
(BU 06, 07 only)
1- Continuing
Seniority Location: _________
3- Temp No-Post
Seniority Dept: _________
(BU 03 only)
(ZDeptID)
2-Temp Posted
4- Supplement
*Seniority Reporting Unit and First Bump are required for BU 06, 07. System default choices are used.
Payroll
Eligible for: Vac, Sick
Comp time
Yes
No
Yes
No
Pay Group:
If Yes, Absence Eligibility Group:
Employee Type:
UMLABORREP
Exception Hourly
UMCIVILSRV
P09
P12
P10
PLH
UMCMPERSONAL
UMCSVCLASS
Hourly/Compass
Salary Plan/Employment Data
Step: ______
(LR, BU 03, 04, 06, 07 Only)
Progression Anniversary Date: _____________
(BU 06, 07 only)
(BU03=Job Codes 6000-6099; BU04= Job Codes 5001-5091; BU06= Job Codes 1800-1899; BU07=Job Codes 4900-4999)
Compensation
Rate Code
Comp Rate
Comp Rate Freq.
Components of Pay:
Compensation Frequency:
1.
HRLY
Hourly
(completion required)
H- Hourly
2.
Hourly
HRLY
Hourly
3.
HRLY
Additional Pay Panel
Amount
If needed, Job Data Override Details
(Lump Sums/
End Date
Hours
Earn Code
Hourly Rate
Eff Date
Position #
Dept
Job Code
Flat Rates)
1.
2.
3.
If needed, Combo Code Override:
General Comments: Temp No-Post position?
Yes
No
(for Temporary No-Post provide description of job duties
the employee will perform.)
HR&EO Use Only:
Prepared By:
Phone#:
Date:
HRMS Check:
Date:
Authorized By:
HRMS Entry:
Form Last Updated 4/20/16
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Parent category: Business