Employee Change Form
Employee Name:
*
First Name
Last Name
Effective Date: Pay Period starts on the 1st and 16th of the Month
*
-
Month
-
Day
Year
Date
Reason for change
*
Promotion
Pay Change
Transfer
Title Change
Demotion
Annual Review
Current Status
Full Time
Part Time
New Status
Full Time
Part Time
No Change
Current Department or Property
New Department or Property
Old Rate:
New Rate:
Old Title:
New Title:
Notes:
Preparers Name:
*
First Name
Last Name
Preparers Email:
*
example@example.com
Approved by:
*
Approvers Email Address
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
Save
Submit
Should be Empty: