JECO Employee Status Change Form

JECO Employee Status Change Form

Please fill out this form completely. For any information that is not applicable or available, select the "I don't know" option where available. Please allow one business day for account creation.
All requests require at least 48hrs notice from submission date.

Weekends are excluded.
Select Employee Status Change:
'Assignment Changes' refers to change in Manager, Route, Phone, etc
Select All Assignment Changes that Apply:
Employee/Legal Name:

First NameLast NameSuffix
Preferred Name(If different from Legal)
Company:
Chaparral Warehouse:
Matador Warehouse:
Viva Warehouse:
Please indicate the new Warehouse/Location assignment:
Effective Date:

MonthDayYear
Indicate date that changes should be effective in Paycom. Must match Pay Rate Effective Date
Due to the Mid-Year Review period, manager changes will not be permitted from June 22 through July 31. If you need to submit a manager change, please date them after July 31.
Effective Date of TERM:

MonthDayYear
Indicate date that changes should be effective in Paycom
Promotion/Demotion Effective Date:

MonthDayYear
Indicate Payroll date that changes should be effective in Paycom (Bi-weekly with start of pay period beginning Sunday Ex: 5/31/26,6/14/26)
Due to the Mid-Year Review period, manager changes will not be permitted from June 22 through July 31. If you need to submit a manager change, please date them after July 31.
Pay Rate Effective Date:

MonthDayYear
Indicate Payroll date that changes should be effective in Paycom (Bi-weekly with start of pay period beginning Sunday Ex: 5/31/26,6/14/26)
Has the Effective Date been Confirmed with the Manager and the employee?
Last Date Worked

MonthDayYear
Indicate date the employee last worked
Current Supervisor / Manager:

First NameLast Name
New Supervisor / Manager:

First NameLast Name
What position is the employee moving to?
Department:

Other
Sales Frontline Position:

Other
Sales Management Position:

Other
JECO Corporate Position:

Other
Operations Position:

Other
Administration Position:

Other
Is this employee a trainer?
Please add respective Tag and Group
Is this employee currently assigned to a route?
What is the current route?
What is the new route?
Will this route need Out of Town permissions?
Do you have a phone for this employee?
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you want Support to reset the phone (and remove data from previous employee if applicable)?
Does this position require a laptop?
Does this position require a vehicle?
List name of laptop to be used (ex: JECO-####)
If no laptop available, indicate 'Laptop Needed'
Does this employee require a new fuel pin? (If unsure contact the Fleet and Product Manager)
New Status:
New Pay Change?
New Pay Basis:
Pay Rate
Termination Reason:
How was termination communicated by employee?

Other
Please provide a picture of the written notice.

pdf, jpg, jpeg, png
Cancelof
Who in management was informed of the termination/resignation?

First NameLast Name

Current Pay Rate
New Pay Rate
Additional Comments
Email address of person completing this form?
A copy of the completed form will be emailed to you as confirmation.
For promotions or demotions, please allow 3 business days/72 hours for letters to be issued.
Should be Empty:

Rows	Returned	Not Applicable	Comments
Company Phone
Bluetooth Printer
DEX Equipment
Computer/iPad
Uniforms