New Employee Set Up

NEW EMPLOYEE SET UP-TEMPORARY EMPLOYEE Dallas, The City That Works: Diverse, Vibrant, and Progressive

ALL FIELDS MUST BE COMPLETED TO SET UP A NEW EMPLOYEE IN THE LAWSON HRIS – HR11. Appointment Reappointment Reinstatement Effective Date Last Name

First Name Preferred Name

n Middle Name i Social Security Nbr a (If applicable) M Status AF-Active Full Time Permanent AI-Active Intern AM-Active Council Member AP-Active Part-time Permanent AS-Active Seasonal AT-Active Temporary Hire/Reappt Adjusted Hire/Adjusted Service Date Date (If new hire, same as Hire Date) Process Level Work

t Department (Org #) (Agency) Country n e User Level Job Code*

m Position # (HR-See Appendix) (xxxxx-xx) n g

i Supervisor Supervisor Location Work Schedule s Name Empl # (Optional 1-9) s (HR-See

A Indirect Supervisor Indirect Supervisor Appendix) # Salary Class Pay Frequency Rate of Pay Hourly Salary Biweekly (Base Hourly or Annual) Schedule Grade Step (Uniform Only) (Uniform Only) (Uniform Only) y a

P Annual Hours 2080 (Full-Time) 1040 (Part-Time) 2808 (24 Hour Fire) FTE Exempt from Overtime Yes Pay Plan Automatic Deposit Auto Time Record No Work Hire Source (Optional) Telephone

k E-mail r o

W Badge Code (Optional) Badge Number (Type-other than City ID) (Optional) EEO4 Functional Group (HR-See Appendix) Birth Date Birth City Birth State Maiden Name Former Name (If applicable) (If applicable) Marital Status o Single Gender Male / Veteran Yes No o Married Female

l oDomestic a

n Partne o r s r Cuban Other Asian

e Ethnicity Mexican American White

P American Filipino Mexican, Chicano Other Asian Indian Asian Guamanian Native Hawaiian Other Pacific Islander Indian Other Spanish/ Black Japanese Puerto Rican Hispanic/Latino Chinese Korean Vietnamese Other

s HOME (For tax & paycheck) SUPPLEMENTAL (If different from home) s e r Address 1 d d

A Address 2 City County

* If THS employee, enter 76802-00 job code and note job code being filled on HR11 Comment button 1

Rev. 1 10/28/2011 PER-FRM-311 SEE REVERSE SIDE NEW EMPLOYEE SET UP-TEMPORARY EMPLOYEE Dallas, The City That Works: Diverse, Vibrant, and Progressive

State Zip Code

Telephone

* If THS employee, enter 76802-00 job code and note job code being filled on HR11 Comment button 2

Rev. 1 10/28/2011 PER-FRM-311 SEE REVERSE SIDE NEW EMPLOYEE SET UP-TEMPORARY EMPLOYEE Dallas, The City That Works: Diverse, Vibrant, and Progressive

y DOCUMENT 1 DOCUMENT 2 t i l i Type

b LIST B-IDENTITY LIST C-EMPLOYMENT i g i

l Description E

k Number r o Expires W

m r Eligibility Status o F

- Alien Number (if applicable) Admission Number (if applicable) I

e e Alien Expiration (if applicable) Authorization (Signature of Employer) S o Single Marital Status EIC Status (See W-5 Form) o Married (Circle One) Tax o Domestic Partner Number Exemptions Additional Exempt Amount (last screen of setup) (See W-4 Form) (See W-4 Form) Yr End Retirement Plan (Yes, unless Mayor, Council or Temporary) Yes No r

e COD-Classification List Phone & Address (See s (HR-See Excel File) Public Access Form) U

d List SSN & Family Date-Next Merit e

r (See Public Access Form)

i Eligibility u Date-Original COD-Drive NEED CODE PRIMARY SECONDARY q

e Appointment Code NON-DRIVER CDL-PRIMARY CDL-SECONDARY R s d l TXDL Class TXDL Number e i F r e

s - Active Full-time or Active Permanent Part-time: Enter hourly work schedule below U - Part-time, Seasonal, or Temp: Enter method of tracking positive time below: K (Kronos) - S (SEA) - L (Lawson) d e h c S

Wed-Day 01 Thur-Day 02 _ Fri-Day 03 Sat-Day 04 __Sun-Day 05 _ _Mon-Day 06 Tue-Day k r

o 07___ W

s Wed-Day 08 _ Thur-Day 09 ___Fri-Day 10 Sat-Day 11 _ _Sun-Day 12 _ Mon-Day 13 Tue- d l e

i Day 14 ____ F Drive CDL Drive-Date Insurance COD-Section/Division Yes No s Supervisor Received d l e

i Drive- Drive- Pay-Shift Pay F

r TXDL Endorsement TXDL Restriction e

s Pay Pay-Lew Sterrett U Rotation Shift EVEN ODD Clerical Only)

s Pay-Detective Pay-Hazardous Pay-Field m

r Assignment Materials Training o f

i Pay-Patrol Pay-Paramedic n Duty U

s Pay-Education d l e i Pay-Service F

r Incentive e s U / t

n COD-Last Merit % Date-Last Date-Last e Merit Increase Promo/Demo m t n

i Date-Original Service Date-Last Date-Last

o (All Permanent)

p Rate Change Service Pay p

a Date-U-Original Appt U-Highest Civil Service Pay- e (Uniform Only) R Rank (Uniform Only) Language Skill

Rev. 1 10/28/2011 PER-FRM-312 New Employee: Reference HR11 in Lawson HRIS SEE REVERSE SIDE Reappointment/Reinstatement: Reference PA52 in Lawson HRIS - REHIRE action 2 NEW EMPLOYEE SET UP-TEMPORARY EMPLOYEE Dallas, The City That Works: Diverse, Vibrant, and Progressive

Date-U-Adjusted Appt (Uniform Only)

Date-Orig/Adusted Service Pay s (Uniform Only) d l e i F

r e s u

t n m t e n m e o m C e t a s t e r

s Supervisor Date City Manager Date u t n i a n e g i R

S Department Date HR Generalist Date

EMPLOYEE # (Generated by system)

Rev. 1 10/28/2011 PER-FRM-312 New Employee: Reference HR11 in Lawson HRIS SEE REVERSE SIDE Reappointment/Reinstatement: Reference PA52 in Lawson HRIS - REHIRE action 2