ࡱ>  cbjbjqq ee)) TIIIIv,2a####xL X!+++++++.J1+]!V"x!!+##30,x"x"x"!L##+x"!+x"x"](h-)# SI,"L(+F,0v,(X1x"1 -)1-)!!x"!!!!!++x"!!!v,!!!!1!!!!!!!!! :  IOWA DEPARTMENT OF ADMINISTRATIVE SERVICES HUMAN RESOURCES ENTERPRISE SPECIAL PAY/APPOINTMENT ACTION (Revised 2/12) Check type of action (and extension, if applicable): DAS-HRE Approval Required:  FORMCHECKBOX  Advanced Appointment Rate  FORMCHECKBOX  Higher Rank Allowance for SPOC  FORMCHECKBOX  Incentive Pay for UE/IUP  FORMCHECKBOX  Increased Credentials  FORMCHECKBOX  Lead Worker  FORMCHECKBOX  Red Circle  FORMCHECKBOX  EXTENSION These Special Pay types have been suspended indefinitely by DAS-HRE and will not be approved: Change of Duty Station (Reassignment) Exceptional Job Performance Extraordinary Duty Recruitment/Retention Bonus Special Duty  All of the above special pay actions must be approved by DAS-HRE PRIOR to making an offer to a new or current employee.  Employees Name: FORMTEXT      Department: FORMTEXT      Current Payroll Number (18 digits): FORMTEXT      Classification Title: FORMTEXT      Classification Code: FORMTEXT      Pay Grade: FORMTEXT      Bi-Weekly Base Pay: FORMTEXT      Bargaining Unit Number: FORMTEXT      Bargaining Status: FORMTEXT      Requested Number of Pay Periods: FORMTEXT      Effective Date: FORMTEXT      Expiration Date: FORMTEXT        Describe the basis for this action in the space below and complete the appropriate section on the reverse side. Attach a copy of the Position Description Questionnaire, if applicable. Attach additional sheets, as needed.  FORMTEXT       Appointing Authority or Designee s Signature/DateDAS-HRE WILL COMPLETE THIS SECTION  FORMCHECKBOX  Approved  FORMCHECKBOX  DeniedComments:  FORMTEXT       Signature of DAS Personnel Officer/DateSignature of DAS Chief Operating Officer or Designee/Date (OVER) Check (X) Boxes Where Appropriate Advanced Appointment Rate  FORMCHECKBOX  53.5(1) (Individual)  FORMCHECKBOX  53.5(2) (Blanket) Additional percentage:  FORMTEXT       Adjusted bi-weekly pay:  FORMTEXT       (must be divisible by 80) Calculation Example: Employee is hired at 10% above the minimum bi-weekly pay of $1845.60. 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Additional information documenting the economic or employment conditions must be submitted when requesting a blanket advanced appointment rate (53.5(2)). Higher Rank Allowance for SPOC-Covered Employees Article IX, Section 10, Higher Rank Allowance  FORMCHECKBOX  Acting Supervisor (10%)  FORMCHECKBOX  Lead Worker (5%)  Conservation Officers Only Number of pay periods:  FORMTEXT       Additional pay per pay period:  FORMTEXT       (must be divisible by 80) Incentive Pay for UE/IUP-Employees Article IX, Section 11 Extra Pay Percentage:  FORMTEXT       (up to 3%). Lump sum pay amount (not added to base pay):  FORMTEXT       (must be divisible by 80) Increased Credentials 53.9(6) Percentage:  FORMTEXT       (not to exceed maximum of pay range) NOTE: Not available for contract-covered employees. Lead Worker 53.8(1) Percentage:  FORMTEXT       (up to 15%). Additional pay per pay period:  FORMTEXT       (must be divisible by 80) Red Circle 53.6(3) Payroll number (18 digits):  FORMTEXT       ( Percent per pay period:  FORMTEXT       Additional pay per pay period:  FORMTEXT       (must be divisible by 80)  SUBMIT THIS FORM TO YOUR PERSONNEL OFFICER.     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