Boards & Commissions BEST Shared Services PA Entry/Re-Entry Form

Boards & Commissions BEST Shared Services PA Entry/Re-Entry Form

Personnel # ______Position # ______Employee Name ______

PCR No. ______Effective Date______Approval______

EE Group ______EE Subgroup______

New Hire Non-Beacon to Beacon Reinstatement

Infotype 0000 – Events
New Hire / Reinstatement/Reemployment
01 New Hire 02 National Guard
03 ENR DFR Pickup Fire / 01 Rtn to St w/in 12 months-Same S/G
02 Rtn to St w/in 12 months-Higher S/G
03 Rtn to St w/in 12 months-Lower S/G
04 Return to State within 5 years
05 Return to State after 5 years
06 Rtn from Short Term Disability Tr-Reh
07 Rtn from Short Term Disability Complete
08 Rtn from Long Term Disability
09 Rtn from Disciplinary Suspension
10 Rtn from Investig Placement Lv
11 Return from Military
12 Rtn from WC with Restrictions
13 Return from WC Complete
14 Return from Educational Leave
15 Return from FMLA
16 Return from Family Illness
17 Return from Parental
18 Return from LOA/Other
19 Return to Supplemental
20 Return from STD with Restrictions
21 Rtn fr Military Care Giver Lv
30 Non-BEACON Transfer Lateral
31 Non-BEACON Transfer Reassignment
32 Non-BEACON Transfer Promotion
33 Non-BEACON Transfer EPA-SPA
34 Non-BEACON Trf ClassPayPlanChg
Non-Beacon to Beacon
01 Transfer Lateral
02 Transfer Re-assignment
03 Transfer Promotion
04 Return to State w/in 12 months-Same S/G
05 Return to State w/in 12 months-Higher S/G
06 Return to State w/in 12 months-Lower S/G
07 Return to State within 5 years
08 Return to State after 5 years
09 Grade Band Transfer
10 Class/Pay Plan Change
11 EPA-SAP
Best Shared Services Use only:

Infotype 0002 – Personal Data

Last Name: ______First Name: ______Middle Name: ______
Social Security Number: ______- ______- ______Date of Birth: ______/______/______
Gender: Male Female Marital Status: Single Married Widow Divorced Separated

Infotype 0001 – Create Organizational Assignment

Subarea: (Defaults from Position) Refer to Job Aid
Bus. Area: (Defaults from Position) Refer to Job Aid
Func. Area, Cost Center #, Fund: (Defaults from FI table)
Contract Type: (Please check box) if applicable
M1 MedCare EE Elig
M2 MedCare CH Elig
M3 MedCare EE&CH / M4 MedCare SP Elig
M5 MedCare EE&SP / RE Ret Ex from Lmt
R0 Ret Non NC Gov
RS Ret Sub to Lmt
S1 SHP Full EE Cost

Boards & Commissions BEST Shared Services PA Entry/Re-Entry Form

Infotype 0006 – Addresses (Permanent)

Address line 1: ______
City: ______County: ______State: ______Zip: ______
Telephone # : (______) ______- ______
Taxes (Defaults – change if needed) – Refer to Tax forms (Employee can modify in ESS)
Infotype 0207 – Residence tax Area Infotype 0208 – Work Tax Area
Infotype 0209 – Unemployment State Infotype 0210 – Withholding Information / W4/W5
Please note: Default is NC. (Examples – 1. Work in NC but live in SC, enter Residence Tax Area as SC. 2. State employee but live and work in SC, complete tax infotypes with SC). Employee can create or modify IT0210.

Infotype 0006 – Addresses (Emergency Contact) (Employee can modify in ESS)

C/O: ______Address line 1: ______
City: ______County: ______State: ______Zip: ______
Telephone # : (______) ______- ______

Infotype 0019 – Monitoring of Tasks

Task Type: 01 – End of Probation Date of Task: (Agency policy will determine date)

Reminder Date: Defaults from “Date of Task” Entry

Infotype 0094 – Residence Status

Personal Identification: Residence Status: Citizen Non-Resident Alien Resident Alien

Infotype 0048 – Residence Status

Visa Information: Record Type: US01 Visa Type: ______(Refer to Job Aid) Visa Subtype: ______
Date of issue: ______Expiration Date: ______Issuing Auth : ______
Passport number: ______Permission number: ______
Resident Status Override: No Override Immigrant Non-Resident
Visa Information: Record Type: US02 Arrival Date: ______Departure Date: ______
Permission number: ______
Infotype 0105 – Communication Telephone: ______Ext: ______
IT0007 – Planned Working Time
Work Schedule Rule: ______
Part-Time Employee Weekly Work Hours: _____

Infotype 0008 – Basic Pay

Reason: New Hire Non-Beacon to Beacon Reinstatement
Annual Salary: ______Hourly Rate: ______(Temps Only)

Infotype 0009 – Bank Details (Employee can modify in ESS)

Bank No. 0 - Main BankBank Key: ______
Bank Acct #: ______
Bank Control Key – Choose 01-Checking or 02-Savings / Bank Payee (if different) ______
Payment Method: Bank Transfer Check
Amount: ______
Infotype 41 – Date Specifications (Dates Default)
Date type 01 – Original Hire Date: ______Date type 02 – Agency Hire Date ______
Date type 04 – Judicial Anniversary Date ______
Infotype 0022 – Education Educational est.: Choose one of the following:
00 LESS 9
01 LESS HS
02 HS GRAD
03 HS +1
04 HS +2 / 05 HS +3
06 BAC DEG
07 MASTERS
08 PHD
0A ASSOC DEG / 0D DENTIST
0L JURISPRUDENCE
0M MED DOCTOR
0O OTHER
Institute/location: (Name of Institute) ______/ Pending Verification:
Verification Not Required:
Infotype 0077 – Additional Personal Data
Ethnic Origin/Race Data: / Disability:
01 White (Non-Hispanic/Latino)
02 Black or African American
03 Asian (Non-Hispanic/Latino)
04 American Indian or Alaskan Native
05 Native Hawaiian or Other Pacific Islander
06 Two or More Races (Non-Hispanic/Latino)
07 Hispanic/Latino / A None/prefer not to report
B Blind or severely visually impaired
C Deaf or severely hearing impaired
D Loss or limited use of arms and/or hands
E Non-ambulation (must use a wheelchair)
F Other orthopedic impairment (e.g. amputation, arthritis)
G Respiratory impairment
H Nervous system/neurological disorder
I Mental restored
J Mental retardation
K Learning disability
L Other (heart disease, diabetes, speech impairment)
M Other (specify in COMMENTS section)
Military Status:
Active Special disabled veteran
Disabled Veteran Vietnam-era Veteran
Inactive Other Protected Veteran
Inactive Reserve Recently Separated Veteran
On Call Non-Veteran
Reserve
Vietnam Veteran

Infotype 0019 – Monitoring of Tasks (05 – Credential Verification)

Task Type: 05 – Credential Verification Date of Task: (90 days from hire date to be within policy)

Infotype 0795 – Certification and Licensing
Category: Refer to Job Aid
Valid from: ______Valid to: ______/ Type: ______Identification #: ______
Doc Status: Non-Renewable Renewable Temporary

Infotype 0040 – Objects on Loan

01 State ID
LO#
02 Office Key(s)
LO#
03 Tool(s)
LO#
04 Pager
LO#
05 Vehicle Keys
LO#
06 Fire Arm
LO# / 07 Home Account
LO#
08 Office Equipment
LO#
09 Uniforms/Clothing
LO#
10 Computer/Laptop
LO#
11 Cell Phone
LO#
12 State Credit Card
LO# / 13 Book(s)
LO#
14 Protective Equipment
LO#
15 Transponder
LO#
16 Phone Card
LO#
17 Bus Pass
LO#
NOTE: If employee has more than State ID, complete a PA30 Transaction for each additional object on loan.