• Personnel Change Authorization

    Personnel Change Authorization

    DIRECTIONS: Use this form to terminate, promote or transfer an employee. Use to request a bonus, pay adjustment or additional pay.
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  • TERMINATION

  • No Call Now Show for Orientation is ONLY to be used for New Hires who did not show up to orientation.

  • For Voluntary Terminations a Resignation Letter (Written notice) is required.  You will be required to upload the letter in order to submit the PCA.  

    The following document types are supported for file upload- pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif

  •  - -
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  • Administrative Actions Needed:

  • Promotion/ Transfer

  •  

  • Pay Rate Change

  • Completed By:

  • Clear
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  • Jotform Flow:

    Description: HR Form- Promote, Transfer, Terminate an employee

    Who completes the form: Director, Executive Leader, Human Resources

    Approval Flow: 

    Upon Submission: Person Submitting the form, receives an email confirmation of submission.

    • Termination- New Hire No Show-
      • Submitted by HR, no approval. 
        • Sent to Promethius Consulting to terminate email addresss. 
    • Termination- 
      • Submitted by Program Director or Manager
        • Human Resources Director reviews, adds information for the Fiscal Payroll and Accounts Payable regarding PTO payout, etc.  HR Director then approves or denies the request.
          • Full Details sent to the HR Director
          • PTO Payout information sent to Fiscal Payroll and Accounts Payable
          • Termination Notice with name, date of termination sent to Promethius Consulting, Director of Business Process Improvement, & Accounts Receivable and Client Information Manager
    • Transfer- HR Director reviews and approves or denies the request.
    • Promotion- HR Director reviews and approves or denies the request.
      • Submitted by Program Director or Manager
        • Human Resources Director reviews, & approves or denies the request.
          • Full Details sent to the HR Director & Fiscal Payroll and Accounts Payable
          • Promotion/ Transfer Notice with name, change, date of change sent to Director of Business Process Improvement, & Accounts Receivable and Client Information Manager
    • Bonus/ Additional Pay-  HR Director reviews and approves or denies the request.
      • Submitted by Program Director or Manager
        • Human Resources Director reviews, & approves or denies the request.
          • Full Details sent to the HR Director & Fiscal Payroll and Accounts PayableFull Details sent to the HR Director & Fiscal Payroll and Accounts Payable
    • Pay Rate Adjustment- 
      • Submitted by Program Director or Manager
        • Human Resources Director reviews, & approves or denies the request.
          • Full Details sent to the HR Director & Fiscal Payroll and Accounts Payable

  • Bonus/ Additional Pay

  • Should be Empty: