Bannock County Courthouse in Pocatello Idaho
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BANNOCK COUNTY
SALARY RATE APPROVAL FORM
| | | | |
|EMPLOYEE NAME | |NUMBER | |
|(Must match SS card) | |(assigned by payroll) | |
| | | | |
|DEPARTMENT | |ACCOUNT NUMBER | |
| | | | |
|JOB TITLE | |PAY GRADE | |
| | | | |
|PROPOSED START DATE | |OFFICIAL START DATE | |
| |
|NOTICE TO DEPARTMENT HEADS/ELECTED OFFICIALS : |
|This form should be completed and approved by Board of Bannock County Commissioners and the employee orientation completed before a new employee |
|has actual hours worked for Bannock County. |
|Please allow for a minimum of two weeks for processing. |
| |STATUS/ CLASSIFICATION FOR BENEFIT PURPOSES: |
| |Elected Official | |YES | |NO | | |
| |Exempt Employee | |YES | |NO | | |
| |Full-time Regular Employee | |YES | |NO |40 Hours per week |
| |Temporary Employee | |YES | |NO |120 Hours or less per calendar month for less than 5 months |
| | |
Nonexempt Employee Exempt Employee
| | | | | | |
|PRESENT SALARY: |Hourly | | |Biweekly | |
| | | | | | |
|REQUESTED SALARY: |Hourly | | |Biweekly | |
| | |
|If a replacement, for whom : | |
| | |
|Reason for change/comments: | |
| | |
| |
| | | | | |
|Prepared By : | |Date Signed : | | |
| |Elected Official / Department Head | |
| | |
SEND TO LEGAL COUNSEL/HR
|EMPLOYEE NAME : | |TITLE : | |
|LAW ENFORCEMENT BCKGRND/TESTING BY: | |DATE: | | |
| | | | | |
|Approved for Hire: |Yes ____ No _____ N/A _____ | | | |
|JUDICIAL REVIEW BY: | |DATE: | | |
| | | | | |
|Approved for Hire: |Yes ____ No _____ N/A _____ | | | |
| | | | | |
|LEGAL REVIEW BY: | |DATE: | | |
|Comments : | | |
| | | |
|HR REVIEW BY: | |DATE: | | |
| | | | | |
|Comments : | | | | |
| | | | | |
|**TO BE USED FOR AUDITING PURPOSES ONLY** |
|PAYROLL AUDIT BY : | | | |DATE: | | |
| | | | | | | |
| Currently Budgeted |$ | |
|Projected to be Used |$ |Does include pay out of vacation/sick/comp hours. |
|Difference (+ or -) |$ | | |
|Comments : | | |
| | | |
| | | | | | |
|BUDGET AUDIT BY : | | |DATE: | | |
| New annual salary | | |
| |$ |Benefits are not included in amount. |
| Old annual salary | | |
| |$ |Benefits are not included in amount. |
| Difference (+ or -) | | |
| |$ |( % of Change ) |
|Comments : | | |
| | | |
|Will this impact next year’s budget? | | |
| |YES NO If yes, how much? $_____________ | |
| | | |
|Comments: | | |
ATTN COMMISSION: PLEASE DO NOT SIGN IF REVIEW AND AUDIT HAVE NOT BEEN COMPLETED
BOARD OF BANNOCK COUNTY COMMISSIONERS:
Steve Brown, Chairman
Terrel N Tovey, Member
Ernie Moser, Member
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