Employee Data Form

Employee Information
Ministry StaffSupport Staff
YesNo
Employees in a paid local church ministry role 15 hours or more per week must be licensed.
Type of Employment Change
Change in Contact InformationLeave of AbsenceTemporary Work StoppageChange in Family StatusNew HireTermination of EmploymentChange in Role at Current ChurchOn ContractTransfer to Another Alliance ChurchChange in SalaryResignationOther employment and/or benefits changes the District Office should be aware ofChange in Work HoursRetirement
Change in Contact Information
Effective Date**

MonthDayYear
City
Province
Format: (000) 000-0000.
CellWorkHome/Other
Family Status Change
Date of Change**

MonthDayYear
MarriageNew DependentName ChangeDivorceWidowed
Change in Role at Current Church
Effective Date**

MonthDayYear
New Role**
Change in Salary Information
Effective Date**

MonthDayYear
Change in Work Hours Information

Please fill out all fields.
Effective Date**

MonthDayYear
New Hours per Week**
Leave of Absence Information

Please note that for all leaves, an Employee Data Form must be completed to notify the District Office at the beginning of an employee's leave. A new Employee Data Form must be also be completed upon the employee's return.
Maternity/PaternityMedicalPersonalSabbatical
PaidUnpaid
Start Date**

MonthDayYear
Return to Work Date**

MonthDayYear
New Hire Information
Effective Date**

MonthDayYear
Hours per Week**
On Contract Information
Effective Date**

MonthDayYear
End Date**

MonthDayYear
End of Employment Information

For resignation, retirement, and termination please enter the following information.
Effective Date of End of Employment**

MonthDayYear
Final Date on Payroll**

MonthDayYear
End of Employment Information

For resignation, retirement, and termination please enter the following information.
Effective Date of End of Employment**

MonthDayYear
Final Date on Payroll**

MonthDayYear
Temporary Work Stoppage
Effective Date**

MonthDayYear
Estimated Return to Work Date**

MonthDayYear
End of Employment Information

For resignation, retirement, and termination please enter the following information.
Effective Date of End of Employment**

MonthDayYear
Final Date on Payroll**

MonthDayYear
Transfer to Another Alliance Church
Effective Date**

MonthDayYear
Church Transferring to**
Submission Information

Should we require further information, please provide us with the following contact information:
Email Notification
If you would like to receive a copy of this form for your records please enter your email.
Should be Empty:

Employee Information

Type of Employment Change

Change in Contact Information

Family Status Change

Change in Role at Current Church

Change in Salary Information

Change in Work Hours Information

Leave of Absence Information

New Hire Information

On Contract Information

End of Employment Information

End of Employment Information

Temporary Work Stoppage

End of Employment Information

Transfer to Another Alliance Church

Submission Information

Email Notification