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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 Infotype 0000 – Events Reason for the Event: New Hire 01 New Hire Reinstatement (check box) if applicable: Reinstatement/Reemployment 02 National Guard 03 ENR DFR Pickup Fire Non-Beacon to Beacon 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 01 Transfer Lateral 05 Return to State after 5 years 02 Transfer Re-assignment 06 Return from Short Term Disability Tr-Reh 03 Transfer Promotion 07 Return from Short Term Disability Complete 04 Return to State w/in 12 months-Same S/G 08 Return from Long Term Disability 05 Return to State w/in 12 months-Higher S/G 09 Return from Disciplinary Suspension 06 Return to State w/in 12 months-Lower S/G 10 Return from Investig Placement Leave 07 Return to State within 5 years 11 Return from Military 08 Return to State after 5 years 12 Return from WC with Restrictions 09 Grade Band Transfer 13 Return from WC Complete 10 Class/Pay Plan Change 14 Return from Educational Leave 11 EPA-SAP 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 BEST Shared Services PA Entry/Re-Entry Form 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 RE Ret Ex from Lmt M1 MedCare EE Elig M4 MedCare SP Elig R0 Ret Non NC Gov M2 MedCare CH Elig M5 MedCare EE&SP RS Ret Sub to Lmt M3 MedCare EE&CH S1 SHP Full EE Cost Infotype 0006 – Addresses (Permanent) Address line 1: ________________________________________________________________________________ City: _______________ Telephone # : County: _______________ State: _______________ Zip: _______________ (______) _______ - ___________ 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) C/O: _______________________________ City: _______________ Telephone # : County: (Employee can modify in ESS) Address line 1: ___________________________________________ _______________ (______) _______ - ___________ State: _______________ Zip: _______________ BEST Shared Services PA Entry/Re-Entry Form IT0007 – Planned Working Time Work Schedule Rule: Part-Time Employee Weekly Work Hours: _____ Infotype 0008 – Basic Pay Reason: New Hire Annual Salary: Non-Beacon to Beacon _______________ Reinstatement Hourly Rate: ___________ (Temps Only) Infotype 41 – Date Specifications Date type 01 – Original Hire Date: _____________________ (Dates Default) Date type 02 – Agency Hire Date ________________ Date type 04 – Judicial Anniversary Date _________________ Date type 07 – Lottery Anniversary Date ___________