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PERSONNEL ACTION FORM
 

 
Please indicate if action to be taken is regarding new employment or completion of probation:
 
Employment Type:
New employee

Requested Action

  New Employee: Michael Gutierrez
  Position: PRN Paramedic 
  Pay Rate: $22.00 Hourly
  Salary Budget Area: 041-400-518
  Start Date: 10/15/2025
  Physical:  Pending 
  Drug Test: Pending