Personnel Action Form
Bryant Group Inc.
Name of Employee
*
First Name
Middle Name
Last Name
Employee ID Number
Employee Phone Number
-
Area Code
Phone Number
Effective Date of Action
/
Month
/
Day
Year
Date Picker Icon
First Day Worked
/
Month
/
Day
Year
Date Picker Icon
Last Day Worked
/
Month
/
Day
Year
Date Picker Icon
Date Submitted
/
Month
/
Day
Year
Date Picker Icon
Action Requested
Please Select
New Employment
Rehire
Transfer
Resignation
Discharge
Quit
Laid Off
Rate Change
Merit Increase
Promotion
Eligible for Rehire
Yes
No
Who will pick up employee work load:
Current Work Location
Please Select
D.C.
Maryland
Virginia
Delaware
Pennsylvania
West Va.
New Work Location
Please Select
D.C.
Maryland
Virginia
Delaware
Pennsylvania
West Va.
Current Department
Please Select
Admin/Acct
Equipment
MD West
Service
Eastern Shore
MD East
Virginia
MD North
Sprinkler
Warehouse
New Department
Please Select
Admin/Acct
Equipment
MD West
Service
Eastern Shore
MD East
Virginia
MD North
Sprinkler
Warehouse
EEO Code
Please Select
White Male
White Female
Black Male
Black Female
Hispanic Male
Hispanic Female
Oriental Male
Oriental Female
Indian Male
Indian Female
Current Position Code
Please Select
Plumber
Plumber's Helper
Plumbing Foreman
Senior Foreman
Plbg. Service Mechanic
Laborer
Sprinkler/Fitter
Sprinkler Foreman
Backhoe
Warehouse
Truck Driver
Area / General Superintendent
Executive
Manager
Project Mgr/Asst Project Mgr
Estimator
Salesman
Engineer
Secretary
Purchasing Expeditor
Draftsman
Clerk/Receptionist
Accounting
New Position Code
Please Select
Plumber
Plumber's Helper
Plumbing Foreman
Senior Foreman
Plbg. Service Mechanic
Laborer
Sprinkler/Fitter
Sprinkler Foreman
Backhoe
Warehouse
Truck Driver
Area / General Superintendent
Executive
Manager
Project Mgr/Asst Project Mgr
Estimator
Salesman
Engineer
Secretary
Purchasing Expeditor
Draftsman
Clerk/Receptionist
Accounting
Current Rate of Pay
New Rate of Pay
Date of Last Rate Increase
/
Month
/
Day
Year
Date Picker Icon
Amount of Last Rate Increase
Last Review Date
-
Month
-
Day
Year
Date Picker Icon
Current Superintendent
New Superintendent
Employee Status (Check one for each item below)
Location
Field/Shop/WH
Office
Overtime
Subject to Overtime
Exempt
Work Hours
Full Time
Part Time
Employment Type
Regular
Temporary
Additional Information / Explanation:
Email Address of Superintendent or Manager Submitting PAF
*
Signature of Superintendent or Manager
Select Production Manager for Approval
Please Select
dave.overstreet@bryantgroupinc.net
eric.rei@bryantgroupinc.net
jim.dudney@bryantgroupinc.net
lee.crow@bryantgroupinc.net
warren.wilber@bryantgroupinc.net
jeff.kohan@bryantgroupinc.net
bob.astrove@bryantgroupinc.net
Email of Production Mgr
example@example.com
Submit
Clear Form
Print Form
Only to be Completed by Production Mgr.
P.M. must enter Approval Date and PIN, then hit the Submit Button. Request for approval will be sent to the Senior Manager.
Production Mgr Approval Date
-
Month
-
Day
Year
Date
Production Mgr Approval PIN
Select Senior Manager for Approval
dave.overstreet@bryantgroupinc.net
eric.rei@bryantgroupinc.net
lee.crow@bryantgroupinc.net
jeff.kohan@bryantgroupinc.net
bob.astrove@bryantgroupinc.net
Email of Senior Mgr
example@example.com
Production Manager Submittal
Only to be Completed by Senior Manager
Sr. Mgr must enter Approval Date and PIN, then hit the Submit Button. Approval will then be sent to the HR Department.
Senior Mgr Approval Date
-
Month
-
Day
Year
Date
Senior Mgr Approval PIN
HR Dept Email
example@example.com
Senior Manager Submittal
Should be Empty: