Personnel Action Form (Paf)
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1Southeastern Community College
Personnel Action Form (PAF)
Action Code
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Effective Date
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Reason Description
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MAIN/PERSONAL INFORMATION
Employee #
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First Name
*
Last Name
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Suffix
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Preferred Name
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Birth Date
*
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Race
*
Disability
*
Veteran
*
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Gender
Marital Status
Hire Date
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Click here to enter a date.
Home Phone
Mobile Phone
*
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E-mail Address
Benefit Date
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Click here to enter a date.
Current Home Address and Phone
New Home Address and Phone
Address 1
Address 1
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City
State
City
State
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text.
Zip
Zip
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County
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County
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SALARY AND POSITION INFORMATION
Current
New
Position Code
***
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Fund Code
***
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Grade
***
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Contract Type
*
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Position Title
*
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Position Type
*
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Dept/Program Code
*
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EEO Category
*
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GL Account
*
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Classification
*
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Annual Salary
*
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Hourly Pay Rate
*
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Status
*
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Schedule
*
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TERMINATION OR LEAVE OF ABSENCE
Term Date
Type of Leave
Paid/Unpaid LOA
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Last Day Worked
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LOA Start
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Days to be paid
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Last Day Paid
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LOA End
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Eligible for Rehire
.
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Return Date
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COMMENTS AND APPROVALS
Comments
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Approval 1
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Date
Approval 2
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Date
Originator/Supervisor/Dept Head
Dean/Vice President
Date
Date
Approval 3
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Approval 4
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President (if appropriate)
Human Resources
DATATEL ENTRY
* Required for New Hire PAF
•
*** For HR/Payroll Use Only
•
DATE: __________________________
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Parent category: Business