Scribd
Upload
318 views

Employee Change Form

This employee change form documents a change in an employee's job status or compensation, including their current and new job title, pay rate, and other pay information. It provides a reason for the change such as promotion, cost of living increase, or demotion. The form also documents whether the employee's contact information like mailing address, phone number, or insurance enrollment needs to be updated. The employee signs to authorize the changes and a manager provides approval.

Uploaded by

rjbranch
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
318 views

Employee Change Form

This employee change form documents a change in an employee's job status or compensation, including their current and new job title, pay rate, and other pay information. It provides a reason for the change such as promotion, cost of living increase, or demotion. The form also documents whether the employee's contact information like mailing address, phone number, or insurance enrollment needs to be updated. The employee signs to authorize the changes and a manager provides approval.

Uploaded by

rjbranch
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Employee Change Form

Employee Name: Effective Date:

Status / Compensation Change Information


Current Information This information will be changed Current Job Title Current Pay Rate Other pay information New Information This information will be updated New Job Title New Pay Rate New Pay Info

Reason for Change


Promotion Additional Notes Cost of Living Demotion Increase in Duties Transfer Merit Shift Differential

Contact Information Change


New Mailing Address New City, State, and Zip New Phone Number Medical/Dental Ins. 401K ComputerEase

Employee Comments & Authorization


Employee Comments

Employee Signature _______________________________________________ Date ______________ Manager (Print Name) _________________________________ Date ______________ Initials ______________

The Company provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, gender, national origin, age, disability, or status as a Vietnam Era or special disabled veteran in accordance with applicable federal and state laws. The Company complies with applicable state and local laws governing nondiscrimination in employment at each location the Company operates. This policy applies to all terms and conditions of employment, including, but not limited to: hiring, placement, promotion, termination, leaves of absence, compensation, and training. If you feel that you have been treated unfairly or discriminated against, submit your complaint, in writing, to Company: Human Resources or Owner, Address.

You might also like