Change in Relationship Form

Change in Relationship Form
Please complete this form to make changes to an employee's pay rate, supervisor, job description, title or to seperate an employee.

MSC's Pay Periods are from the 1st to 15th and 16th to the end of each month. Changes should be effective at the beginning of a pay period.

Please choose either the 1st or 16th as the effective date for all changes other than separations. If you need to choose a different date, please contact MSC's People and Culture Team directly by emailing personnel@movementstrategy.org.
Project Name
Department
Employee Name

First NameLast Name
Employee Email
example@example.com
What kind of changes are being made? Please select all that apply.
Salary
Effective Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPlease choose either the 1st or 16th as the effective date.
New Gross Annual Amount
Current Gross Annual Amount
Reason for Change
Change in hourly pay
Effective Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPlease choose either the 1st or 16th as the effective date.
New Gross Hourly Amount
Current Gross Hourly Amount
Reason for Change
Change in FTE
Effective Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPlease choose either the 1st or 16th as the effective date.
Current Hours Worked Weekly
New Hours Worked Weekly
Current Classification
New Classification
Classification Definitions:
- Full-Time Employee – Full-time employees are those who work 40 hours per week and are eligible for employee benefits.
- Part-Time Employee – Part-time employees are those who work a minimum of 20 hours per week and fewer than 40 hours per week are eligible for employee benefits.
- Temporary Employee – Temporary employees are those employed on an as needed basis. Temporary employees are not eligible for employee benefits except those mandated by applicable law.
Reason for Change
Change in supervisor
Effective Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPlease choose either the 1st or 16th as the effective date.
Current Supervisor Name

First NameLast Name
Current Supervisor Email
example@example.com
New Supervisor Name

First NameLast Name
New Supervisor Email
example@example.com
Reason for Change
Change in JD
Please use an MSC approved template for your job description. Links to the templates are below:

Full Time

Part Time

Temporary
Effective Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPlease choose either the 1st or 16th as the effective date.
Attach New Job Description

Cancelof
New Title
Reason for Change
Seperation
Effective Date (Last Day Worked)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Type of Seperation
Separation Reason

Other
Eligible for Re-hire?
Resignation Letter

Cancelof
Reason for Separation
Other
Effective Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Please describe the change.
Employee's Supervisor Name

First NameLast Name
Employee's Supervisor Email
example@example.com
Submitted By:

First NameLast Name
Email
example@example.com
Project Director (hidden)
Change in Salary Language
Change in Hourly Pay Language
Change in Hours Language
Change of Supervisor Language
Change in JD Language
Separation Language
Other Change Language
Project Director Email (hidden)
example@example.com
PA Email
example@example.com
Submission Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
New Gross Annual as Currency
Current Gross Annual as Currency
Project Accountant Email
example@example.com
New Gross Hourly as Currency
Current Gross Hourly as Currency
P&C Email
example@example.com
Should be Empty:

Change in Relationship Form

Please complete this form to make changes to an employee's pay rate, supervisor, job description, title or to seperate an employee.

What kind of changes are being made? Please select all that apply.