OLT Personnel Action Form
This form is only for Operations Leadership Team (OLT) Units only
Preparer Details
Preparer Name
First Name
Last Name
Preparer Email
example@uw.edu
Hiring Unit
Finance
Facilities
Human Resources
UW IT
Please select one unit from the drop down menu
Position Details
Employee's Name
First Name
Last Name
Action Type
Hire - New Position
Temporary Pay Increase
Hire - Replacement, New Job Code
In-grade Salary Increase
Hire - Replacement for Existing Position
Position Review
Position Duration (for hire actions only)
Permanent
Temporary
Position Duration (if temporary)
6-12 months
Multi-year
Current Monthly Salary Rate
if applicable
Current Salary Grade
if applicable
Proposed Monthly Salary Rate
Enter monthly rate/amount
Proposed Salary Grade
Proposed FTE
Funding Type
Permanent GOF/DOF
Temporary GOF/DOF
Revenue/Self-Sustaining
Permanent and Temporary GOF/DOF
Proposed Start Date
Proposed End Date (if temporary)
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Position Description
Proposed Working Title
Proposed Payroll Title
Proposed Payroll Job Code
Direct Hire?
Yes
No
If yes, what is the direct hire's name?
First Name
Last Name
Attach position description(s) and/or HR forms
*
Upload Files
Cancel
of
Upload a list of positions within your unit with comparable duties and salaries
Upload Files
Cancel
of
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Position Approval
Attestation
*
I confirm VP approval is documented and on file.
Preparer Signature
*
Please provide any additional information to support your request
Your completed Personnel Action Form will be routed to Kim Dinh for review and approval.
Submit Form
Print Form
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Approval
Approval Status
Approved
Denied
Unit Approver Signature
Reason for Denial
Submit
Should be Empty: