HomeMy WebLinkAboutSupplemental Attachments - 2/18/19CITY WAY Y '- in CA 5 0M A 9 A
To: City Council Members
Re: Notice of Severance
CITY HALL 715 MULBERRY STREET 50703
Department POLICE
Today's Date: 2/1/2019
Effective Date: 2/1/2019
Employment Date: 5/2/2011
Job Title/Classification
Patrol Officer
This is to report that the employment of
Marc Moore
with the City of Waterloo has been severed by reason of:
❑ Retired
Disability Related
Resigned
Termination
❑ Other
No ❑ Yes
In accordance with City Policy, it is requested to allow payment which consists of the following:
Comments:
Approved by
Human Resources
Date
Date ja.% I,C�
Routing:
Original to Human Resources by Department
Human Resources will forward original to City Clerk (Copy in Personnel File)
Clerk's Office will forward approved form to Department
Council Agenda Date: H
� I B /11 ❑ AS/400 Status/Accruals ❑ 1-9
Benefits
Total Hours
(x) Hourly Rate
Total Payout
Vacation -Accrued
18.24
$33.85
$ 617.42
Vacation -Current
120.00
$33.85
$ 4,062.00
Usable Sick Leave
0.00
$33.85
(x) 25%
$ -
Frozen Sick Leave
0.00
$33.85
(x)
$ -
®%
Personal Hours
0.00
$33.85
$ -
Sick Time Pay
0.00
$33.85
$ -
Unscheduled Leave
0.00
$33.85
$ -
Other Pay
384.27
$33.85
$ 13, 007.54
Total Payment
$ 17,686.96
Approved by
Human Resources
Date
Date ja.% I,C�
Routing:
Original to Human Resources by Department
Human Resources will forward original to City Clerk (Copy in Personnel File)
Clerk's Office will forward approved form to Department
Council Agenda Date: H
� I B /11 ❑ AS/400 Status/Accruals ❑ 1-9