Personnel Action Form (PAF)
To be completed by Administrator/Director -complete only sections that apply.
Change Employment Status To:
Current Benefit Eligibility
New Benefit Eligibility
(Directors must approve all transfers of employees out of each program)
Choices In Community Living, Inc.
Please note ANY schedule changes for the employee greater than 30 days.
New Schedule: List the scheduled time and program for each day and if the hours are paid sleep or non-paid sleep.
Paid Sleep Hours
Non-Paid Sleep Hours
Please list open hours (and program if different from above):