Team Member Change Form

Team Member Change Form
Note: The Team Member Change Form has been edited. It will no longer be the location for pay changes.

This form will be used to document position changes (promotion, termination, voluntary quit, etc.).

Pay changes will now be submitted via the Pay Change Request.

Pay changes can only be requested at the end of each period moving forward.
Store*
What region is your store in?
What state is your store in?
Team Member Name*
Current Position*
Other position
Reason for Change:
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Action*
New Position*
NEW Store*
Other NEW Position
New Rate*
Reason for Other
Effective Date of the Chage*

MonthDayYear
All pay changes MUST be the beginning of payroll period. Every Monday is either a pay day or the beginning of a payroll period.
Effective Date*

MonthDayYear
Date
Last day worked*

MonthDayYear
Date
YesNo
Explain reason in detail
YesNo
Comments for this change
Enter the full name of the person filling out this form*
Bryan Email
example@example.com
Kelly Email
example@example.com
Shaun Email
example@example.com
DOemail
example@example.com
Sup Email
example@example.com
Store Email
example@example.com
Should be Empty: