CHANGE ACTION

"Serving Those Who Protect the Dallas Community"
[7
JON EFFECTIVE DATE
D JOB CHANGE
D
NEW HIRE
D SPECIAL PAY
D
LEAVE
December 26, 2012
[81 PAY CHANGE
D WORK SCHEDULE
D
PERSONAL DATA CHANGE
REASON
I
Annual Salary Increase
NAME
EMPLOYEE NUMBER
Richard L. Tettamant
0001
JOB DATA
. ~ ~
[81 AF-Active Full Time Permanent D AI-Active Intern
D
LM-Leave, Military, No Pay
HirelReappntmnt Date
D
AP-Active Part-time Permanent D AS-Active Seasonal
D
LN-Leave, No Pay
D AT-Active Temporary D LA-Leave of Absence with Pay
Service Credit Date
(Adjusted HireDate)
Supervisor Board of Trustee Supervisor Title
Work Schedule Days Off:
IExempt ISalary Class
(Hours) 80 SIS o Yes ONo o Hourly ~ Salary
Work
E-mail
Phone
Base Rate OLD NEW Pay Period : IRetirement Plan
of Pay YRLY $270,000.00 $283,500.00 $10,903.85
~ Yes 0 No
TEAM
PFP-Last Date-Next Merit
Administration
Merit % Annual Increase Eliqibilitv
-I i ~ t Phone& Address OY ~ N 0 P OA
Date-Last Date-Original
Merit Increase 1212812011 Appointment
-List SSN& Family oy
ON OS OF
Date-Last Date-Original Service
PromolDemo (All Permanent)
Date-Last
Rate Change
·Sp,ECIAL PAY DATA   ~
~
Service OLD NEW
IOTHER
OLD NEW
Incentive Pay
P. ERSONAGDATA'1 -
.. .'
  ~
Social Sec Nbr EIC
ITax Marital
Number Add'i Exempt
Status Status Exemptions Amount
Birth Date Birth City Birth State
Marital
Status
Maiden Name (if applicable) IFormer Name (if applicable)
HOME(For tax &paycheck) SUPPLEMENTAL (If different fromhome)
Address 1
Address 2
City, State Zip
Telephone
COMMENTS:
r- '"\ervisor0 ~
Date DPFP Chairman of the Board Date
1/ fJ /;vol:?
-(/
eorge Tomasovic George Tomasovic

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