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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: Judith Hernandez
  Position: PRN EMT
  Pay Rate: $15/hr
  Salary Budget Area: 041-400-518
  Start Date: 04/01/2025
  Physical:  Complete
  Drug Test: Complete