PERSONNEL ACTION FORM by drg42279

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									                        UT SYSTEM PERSONNEL ACTION FORM --- NEW HIRE/REHIRE                                                                    (revised 10.2008)
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                                                                                                                             Contact
                                       On-Line instructions                                                      Controller Staff 512.499.4527
                        www.utsystem.edu/cont/Forms/PAFs/Instructions.doc
                                                                                                                 OES Staff        512.499.4587

EMPLOYEE AND ACCOUNT INFORMATION                                   JOB POSTING INFORMATION

Employee Name:                  Last, First, MI                                Nepotism Information                    No
UTEID:                                                                            Name:
Department:                                                                       Relationship:
Replacement for:                                                                     Dept/Position:
Job Posting No.:                                                               Working in Texas?                             No         Yes
Transfer:                            No           Yes                          (if no, an Out of State Employment Supplement must be submitted with this PAF)
(Did employee transfer from a Texas State Agency or Higher Education
Institution?)
                                                                               Position ID:

NEW MONTHLY APPOINTMENT

Account Number:                                                                Account Number:
Budget Page:                                                                   Budget Page:
Item Number:                                                                   Item Number:
# Hours worked /week:                                                          # Hours worked /week:
Percent Time:                                                                  Percent Time:
Annual Rate:                                                                   Job Class Code:
Title:
Begin Date:                            mm/dd/yyyy                              End Date:                               mm/dd/yyyy

NEW HOURLY APPOINTMENT (appointment must be vouchered for salary payments)

Account Number:                                                                Begin Date:                             mm/dd/yyyy
Budget Page:                                                                   End Date:                               mm/dd/yyyy
Item Number:                                                                   Title:
# Hours worked /week:                                                          Job Class Code:
Hourly Rate:                                                                   Percent Time:

OTHER INFORMATION (all information in this section must be completed)

Was employee notified BRP included in
                                                             YES                            Initials
salary if determined eligible?
                                                                                                           Hiring Official

DEPARTMENT NOTES:



APPROVED:                                                                                       DATE:          6/21/2010 (will update when printed)

PREPARED BY:                                                                                    PHONE:

                                        RETURN COMPLETED FORM TO THE OFFICE OF THE CONTROLLER – ASH 5

FOR CONTROLLER OFFICE STAFF USE ONLY

DOC ID#:                                                   DATE:                                APVL:
DOC ID#:                                                   DATE:                                APVL:                                       CAR:

*DEFINE: ________            OTIS: ___________            MM: __________       WD:                           FINAL:                         DATE:




                                                                        6/21/2010 6:53 PM

								
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