D Payroll Use Only CITY OF STOCKTON REPORT ON PERSONNEL ACTION Last Name, First Name: Criner, Raynette Employee HTE#/Munis# 1133/ 100084 ----�-------------- Date Prepared: 12/27/22 Prepared by: jramirez
Regular Limited
Socia I Security Number:
Present Status:
Class Title: POSITION CONTROL # ---------- ------- D Probationary □ Regular D Provisional
D Temporary
D Annuitant
D Part time
Department:
Home Acct#:
HTE Acct#s:
Munis Acct#s:
o Non-comp
D At-Will
D Half time D 3/4 time
Unit Code: Grade: Step: ----------------------- ---------------- Rate $: ----------------
Location Code: Bargaining Unit _________ Add Pay:
Proposed Status: Regular Limited
Class Title: Program Specialist POSITION CONTROL # 11 794 D Probationary D Provisional D Temporary
llsl Annuitant
------- □ RegularDepartment: Police Department (PD)
Home Acct#: 010-2470-530.10-11
HTE Acct#s: 010-2470-530.10-11
Munis Acct#s: 3519-320-6100001-100-000-20-35-000-000-
□ Non-comp
D At Will
D Half time o 3/4 time
D Part time
Unit Code: N/A Grade 80B Step ___________ __.:__ ___ _
Rate $: 27.77/ hour
Location Code: 3599 Bargaining Unit _____ N_/A ___ _ �dd Pay: N/A ----------- ---- Effective Date: February 1, 2023
CHECK APPROPRIATE BOX(ES):
APPOINTMENT Requisition #:
D New Hire
D Re-Employment _5_o_9_7 _____ _
D Reinstatement llsl Rehire
LEAVES
D Workers Comp
D Military - Paid
D Military - Unpaid
D Leave Without Pay {LWOP)
D Suspension
D Pregnancy/FMLA
D FMLA
D Administrative Leave - Paid
D Administrative Leave - Unpaid
D Absent Without Leave (AWOL)
Multiple Positions - Part time
CHANGES
o Title Change
o Status
D Acct. Number
D Salary
D Transfer
D Promotion
o Demotion
D Return to Work
D Special Assignment
□ Acting Pay
□ Alternate Staffing
D Reclassification
(Overfill/Underfill)
o Reallocation
D CalPERS Enrollment
SEPARATIONS
□ Resignation
D Separation
D Rejection of Probationer
D Discharge / Termination
D Death
o Layoff
D Retirement - Service
D Retirement - Disability
D Retirement - IDR
Last Day on Payroll
Primary Title: Secondary Title: __________ Tertiary Title:
PAY OFFS
{Payroll Use Only}
Annual Leave
D
Sick Leave Balance
D
Comp Time
D
Uniform Allowance
D
Primary Rate$: Secondary Rate$: Tertiary Rate$: ----------- ---------- Position Control#: Position Control#: Position Control#: -------- Explanation: Rehire as Part-time Annuitant Program Specialist- Police Telecommunicator II. EE hire to be approved by Council 1/24/23.
Employee Signature: ----------------------------- Date: _______ _ Department Head: Date: ---------
Human Resources: Date: ---------
City Manager Signature: (if required) Date:
For Human Resources Use Only
Group Tier Level ABT Code Benefit Code Deduction Code Benefits Initial/Date Benefits 2nd Review Safety: Police□ Fire: D Initial/Date
Misc: □ I II Ill
CS-23 1st Review/Date Analyst Review/Date E-Verify/Date Update NeoGov/Date To Payroll/Date Update HTE/Date 2nd Review History of HTE/Date Card/Date
G:\COS\Forms\Omniform\CS-23 Last Revised 01/27/2022
EXHIBIT 1
D Payroll Use Only CITY OF STOCKTON REPORT ON PERSONNEL ACTION Last Name, First Name: Valentine, Stephanie Employee HTE#/Munis# 1211/ 100113 ---------'------'-------------- Date Prepared: 12/27/22 Prepared by: jramirez
Regular Limited
Socia I Security Number:
Present Status:
Class Title: __________ POSITION CONTROL# ______ _ □ Probationary □ Regular □ Provisional
Department:
Home Acct#:
HTE Acct#s:
Munis Acct#s:
□ Non-comp
D At-Will
□ Half time □ 3/4 time
Unit Code: Grade:
□ Temporary
□ Annuitant
□ Part time
Step:----------------------- ----------------
Rate $: ----------------
Location Code: Bargaining Unit _________ Add Pay:
Proposed Status:
Class Title: Program Specialist
Department: Police Department (PD)
Home Acct#: 010-24 70-530 .10-11
HTE Acct#s: 010-2470-530.10-11
POSITION CONTROL# 11794 -------
Regular
□ Probationary
□ Regular
□ Non-comp
o At Will
□ Half time □ 3/4 time
Limited
□ Provisional
D Temporary
181 Annuitant
□ Part time
Munis Acct#s: 3519-320-610001-100-000-20-35-000-000- Unit Code: N/A Grade 808 Step ----------------- Rate $: 27.77/ hour
Location Code: 3599 Bargaining Unit _____ N-'--/A ___ _ idd Pay: N/ A --------------- Effective Date: February 1, 2023
CHECK APPROPRIATE BOX(ES):
APPOINTMENT Requisition #:
D New Hire
D Re-Employment _6_0_9_8 _____ _
D Reinstatement 181 Rehire
LEAVES
D Workers Comp
□ Military - Paid
D Military - Unpaid
D Leave Without Pay (LWOP)
□ Suspension
□ Pregnancy/FMLA
□ FMLA
D Administr ative Leave - Paid
D Administrative Leave - Unpaid
□ Absent Without Leave (AWOL)
Multiple Positions - Part time
CHANGES
□ Title Change
□ Status
□ Acct. Number
D Salary
□ Transfer
D Promotion
□ Demotion
D Return to Work
□ Special Assignment
□ Acting Pay
□ Alternate Staffing
□ Reclassification
(Overfill/Underfill)
□ Reallocation
D CalPERS Enrollment
SEPARATIONS
D Resignation
□ Separation
D Rejection of Probationer
□ Discharge / Termination
□ Death
□ Layoff
D Retirement - Service
□ Retirement - Disability
□ Retirement - IDR
Last Day on Payroll
Primary Title: Secondary Title: Tertiary Title: ----------
PAYOFFS
_(Payroll Use Only)
Annual Leave
□ --------
Sick Leave Balance
□
Comp Time
□ -------
Uniform Allowance
□
Prim a r y Rate$: __________ Secondary Rate$: Tertiary Rate$: ________ _ Position Control#: Position Control#: Position Control#:
Explanation: Rehire as Part-time Annuitant Program Specialist- Police Telecommunicator II. EE hire to be approved by Council 1/24/23.
Employee Signature: ----------------------------- Date: _______ _ Department Head: Date: ---------
Human Resources: Date: _______ _
City Manager Signature: (if required) Date:
For Human Resources Use Only
Group Tier Level ABT Code Benefit Code Deduction Code Benefits Initial/Date Benefits 2nd Review Safety: Police D Fire: D Initial/Date
Misc: □ I II 111
CS-23 1st Review/Date Analyst Review/Date E-Verify/Date Update NeoGov/Date To Payroll/Date Update HTE/Date 2nd Review History of HTE/Date Card/Date
G:\COS\Forms\Omniform\CS-23 Last Revised 01/27/2022
EXHIBIT 1
D Payroll Use Only CITY OF STOCKTON REPORT ON PERSONNEL ACTION Last Name, First Name: Washington, Kim Employee HTE#/Munis# 7355/ 100013 ---�--------------- Date Prepared: 12/27/22 Prepared by: jramirez
Regular Limited
Socia I Security Number:
Present Status:
Class Title: POSITION CONTROL # ---------- ------- □ Probationary □ Regular D Provisional
Department:
Home Acct#:
HTE Acct#s:
Munis Acct#s:
□ Non-comp
D At-Will
□ Half time □ 3/4 time
Unit Code: Grade:
□ Temporary
□ Annuitant
□ Part time
Step: ----------------------- ----------------
Rate $: ----------------
Location Code: Bargaining Unit Add Pay:
Proposed Status: Regular Limited
Class Title: Program Specialist
Department: Police Department (PD)
Home Acct#: 010-2470-530.10-11
POSITION CONTROL# 11794 D Probationary
D Regular
D Provisional
□ Temporary
� Annuitant
-------
HTE Acct#s: 010-2470-530.10-11
Munis Acct#s: 3519-320-610001-100-000-20-35-000-000-
D Non-comp
o At Will
□ Half time □ 3/4 time
□ Part time
Unit Code: N/A Grade 80B Step -----------------
Rate $: 34. 71 / hour
Location Code: 3599 Bargaining Unit ____ :....:Nc..:../A-'----- �dd Pay: N/A --------------- Effective Date: February 1, 2023
CHECK APPROPRIATE BOX(ES):
APPOINTMENT Requisition #:
D New Hire
D Re-Employment _4_8_0_1 _____ _
□ Reinstatement � Rehire
LEAVES
□ Workers Comp
□ Military - Paid
□ Military - Unpaid
D Leave Without Pay (LWOP)
□ Suspension
□ Pregnancy/FMLA
□ FMLA
D Administrative Leave - Paid
D Administrative Leave - Unpaid
□ Absent Without Leave (AWOL)
Multiple Positions - Part time
CHANGES
□ Title Change
D Status
□ Acct. Number
□ Salary
D Transfer
□ Promotion
□ Demotion
□ Return to Work
D Special Assignment
D Acting Pay
□ Alternate Staffing
□ Reclassification
(Overfill/Underfill)
□ Reallocation
D CalPERS Enrollment
SEPARATIONS
□ Resignation
□ Separation
□ Rejection of Probationer
□ Discharge / Termination
□ Death
□ Layoff
□ Retirement - Service
D Retirement - Disability
□ Retirement - IDR
Last Day on Payroll
Primary Title: Secondary Title: Tertiary Title: ---------- {Payroll Use Only}
Annual Leave
□
Sick Leave Balance
□
Comp Time
□
Uniform Allowance
□
Prim a ry Rate$: __________ Secondary Rate$: Tertiary Rate$: ________ _ Position Control#: Position Control#: Position Control#: -------- Explanation: Rehire as Part-time Annuitant Program Specialist- Police Telecommunications Supervisor. EE hire to be approved by Council 1/24/23.
Employee Signature: ----------------------------- Date: _______ _ Department Head: Date: --------
Human Resources: Date: ________ _
City Manager Signature: (if required) Date:
For Human Resources Use Only
Group Tier Level ABT Code Benefit Code Deduction Code Benefits Initial/Date Benefits 2nd Review Safety: Police D Fire: D Initial/Date
Misc: □ I II Ill
CS-23 1st Review/Date Analyst Review/Date E-Verify/Date Update NeoGov/Date To Payroll/Date Update HTE/Date 2nd Review History of HTE/Date Card/Date
G:\COS\Forms\Omniform\CS-23 Last Revised 01/27/2022
EXHIBIT 1