BEST Shared Services PA Entry/Re-Entry Form

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 Reason for the Event: (check box) if applicable:
New Hire / Reinstatement/Reemployment
01 New Hire 02 National Guard
03 ENR DFR Pickup Fire / 01 Return to State w/in 12 months-Same S/G
02 Return to State w/in 12 months-Higher S/G
03 Return to State w/in 12 months-Lower S/G
04 Return to State within 5 years
05 Return to State after 5 years
06 Return from Short Term Disability Tr-Reh
07 Return from Short Term Disability Complete
08 Return from Long Term Disability
09 Return from Disciplinary Suspension
10 Return from Investig Placement Leave
11 Return from Military
12 Return 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 Return from Military Care Giver Leave
30 Non-BEACON Transfer Lateral
31 Non-BEACON Transfer Reassignment
32 Non-BEACON Transfer Promotion
33 Non-BEACON Transfer EPA-SPA
34 Non-BEACON Transfer Class Pay Plan Change
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

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, CostCenter #, 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

BEST Shared Services PA Entry/Re-Entry Form

Infotype 0006 – Addresses (Permanent)

Address line 1: ______
City: ______County: ______State: ______Zip: ______
Telephone # : (______) ______- ______
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 # : (______) ______- ______
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 41 – Date Specifications (Dates Default)
Date type 01 – Original Hire Date: ______Date type 02 – Agency Hire Date ______
Date type 04 – Judicial Anniversary Date ______Date type 07 – Lottery Anniversary Date ______