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English (US)
Spanish (Latin America)
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
Rehire
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: