ORDER N0. 19885 APPROVAL OF HIRING BARRY WILLIAMS IN COURTHOUSE ~ RELATED BUILDINGS MAINTENANCE On this the 9th day of October 1990, upon motion made by Commissioner Holekamp, seconded by Commissioner Morgan, the Court unanimously approved by a vote of 5 to 0 to approve the hiring oŁ Barry Williams in Courthouse & Related Buildings Maintenance, eŁŁective October 1, 1990 at Pay Group 7, Step S, 511,987.00 annually, 5998.92 monthly, 5499.46 semi-monthly. DATE: October 1, 1990 TO: COMMISSIONERS' COURT FROM: Fr-~"k'~- °~--------------- Person Requesting Budgetary Approval Courthouse & Related Buildings --------------------- Section/Division SUBJECT: ®New Hire D Promotion ~ Merit D Lateral Transfer ^ Demotion ~ Other EFFECTIVE: _10=1_1990_____ I wish to employ Barry Williams Date Person AS a Maintenance Technician at 7/5 at a Title of Position Grade/Step salary of sll,9s~.oo annually 998.92 monthly 499.46 semi-monthly In accordance to Order No. 18631 approved April 27, 1989, the following documents are submitted for your approval: • The actual application for employment along with any letters of recommendations; • The written physical report signed by the doctor,(CK-05) with completed evaluation form signed by department head, and; • The Workman's Compensation Inquiry report (verbal to Department Head and followed up by written request.) CK-01 TEXAS WORKERS' COMPENSATION COMMISSION 200 East Riverside, Ausiin, Texas 78704-1287 (512) 448-7934 WAIVER OF CONFIDENTIALITY I understand all information in my worker's compensation file(s) is confidential under the Texas Worker's Compensation Act. However, I hereby waive any such right of confidentiality and authorize the information outlined below from my records to be released to the undersigned employer for a period not to exceed fourteen days from the date of application for employment. SECTION 2.33. INFORMATION AVAILABLE TO PROSPECTIVE EMPLOYERS. (a) When a person applies for employment, the prospective employer who has workers' compensation Insurance coverage Is entitled, on compliance with this chapter, to obtain information on the applicant's prior injuries. (b) The employer must make the request by telephone or file the request in writing not more than 14 days after the date on which the application for employment is made. (c) The request must Include the applicant's name, address, and social security number. (d) The employer must obtain written authorization from the applicant before making the request. (e) If the request is made in writing, the authorization shall be tiled simultaneously. Ii the request is made over the telephone, the employer shall file the authorization not later than the 10th day after the date on which the request Is mado. r THIS FORM MUST BE FILLED OUT COMPLETELY AND NOTARIZED TO COMPLY WITH THE LAW Telephone YES NO October l~ 1990 _ _ ________ ofrRedu t st Circle Oane) signature vJ 1. Frankie L._Spealanon_____________ Requester's Full Name and Tiile 2. 74-6001494 Federal Tax I.D. Number 3, County of Kerr ----------------- Employer's Full Name 4. _700 Main ---------------------- Street Address Kerrville~______Texas ________ 78028 City Siate Zip 5. ___ ~' //C~~C~ Date oJ~Applicatio~ Signature/ 6. Barry Williams - ------------------ Print or Type Applicant's Full Name 7. --- 443--- - 42-----~1Q~---------- Social Security Number g, 108 Ash ----------------------------- Slreet Address Kerrville, _T_e_x_as 78028 City-----------State --------- Zip IF REQUESTED BY PHONE THIS FORM MUST BE RECEIVED WITHIN 10 DAYS IN THE COMMISSION'S AUSTIN OFFICE. M R R R M Ir k R R f R R R R}# R R R } f 1 R R R R 1 R R R R R f# R 1 R f 1 1 1 R R R R R R R R* R R R R R R R R R R R R f 1 }`.v'4~ e / P 1 M R 1 R 1t R R 1 R 1 ~ STATEOFTEXAS § 'y t knry ~~,. ~~~ .*,.'', ,,.,, Vw . COUtJTY OF KERR § Vf~ h SWORN AND SUBSCRIBED TO BEFORE ME THIS day of ~/"~~' '~f,v~ , 19 l~ :'"' nature of Notary Public My Commission Expires: R-12. (Rev. 4-90) CK-06 Printed Name of Notary Public (Seal) s~msa .'0'~ LIDIA 5. BETTS Notary Public. State of ieaas Fly Commission Expues 815191 ,er,o' ~ pi FecF Fi iRNISH ONE ORIGINAL A_ND SEVEN COPIES OF THIS REOUEST AND DOCUMENTS TO BE REVIEWED BY THE COURT. MADE BY: Fr nki km n OFFICE' Sl]~ri nt Pnc3Pnt C'rnirthrnicP ,G RP~.a~Pf3 Buildings MEETING DATE: October 9, 1990 TIME PREFERRED: SUBJECT: (PLEASE BE SPECIFIC): EXECUPIVE SESSION: Personnel Approve the hiring of Barry Williams ESTIMATED LENGTH OF PRESENTATION: s ,n;^~~*P~ IF PERSONNEL MATTER -NAME OF EMPLOYEE: Barr williams NAME OF PERSON ADDRESSING THE COURT: Frankie snealmton Time for submitting this request for Court to assure that the matter Is posted in accordance with Article 6252- t 7 Is as follows: • Meetings held on second Monday: 12:00 P. M. previous Wednesday • Meetings held on Thursdays: 5:00 P. M. previous Thursday. If preferable, Agenda Requests may be made on off Ice stationery with the above Information attached. THIS REQUEST RECEIVED BY: THIS REQUEST RECE IVED ON: All Agenda Requests will be screened by the County Judge's Office to determine If adequate Information has been prepared for the Court's formal consideration and action at time of Court meetings. Your cooperation will be appreciated and contribute towards your request being addressed at the earliest opportunity. ORDER N0. 19885 APPROVAL OF HIRING BP.RRY WILLIAMS IN COUrfPHOUSE & RELATED BUILDINGS MAIIVTIIVA'QCE October 9, 1990 Vol. S, Pg. 13