The Employee Status Change form is a document used by organizations to formally record changes in an employee's work status. These changes may include promotions, demotions, transfers, or leaves of absence. Properly completing this form ensures that all personnel records are accurate and up to date, facilitating smooth HR processes.
The Employee Status Change form is an important document used to officially record changes in an employee's status within a company. It is similar to several other documents that serve related purposes. Below are four documents that share similarities with the Employee Status Change form:
Understanding these documents can help ensure that all changes in employee status are properly documented and managed, contributing to a smooth and efficient workplace environment.
Employee Status Change Form
Employee Name: ___________________________________________________ Social Security #: __________________________________
Address: ______________________________________________________________________________________________________________
DT #: ___________ Location Name: _________________________________ Position: ____________________________________________
Effective Date: ______/______/______
Date of Birth: ______/______/______ E-mail: ________________________________________
Employee Status
Type of Change:
New Hire
Rehire
Employee Status Change
Regular Full Time
(30 hours or more)
Hours per week: _________
Regular Part Time
(29 hours or less)
Temporary
(Less than 6 months)
On Call
(As Needed)
Salary Establishment/Change
Merit Increase
Promotion
Cost of Living
Other _______________________
New Pay Rate:
$__________________
per hour
Bi-weekly salary amount
Annual Salary $______________________
(Non-Exempt)
(Exempt)
(If Exempt)
IF SCHOOL EMPLOYEE: ( If contracted teacher, please attach a copy of the contract)
# of Pays: _____________
First Check Date: ______/______/______
Final Check Date: ______/______/______
Status Change
Location Change (Transfer)
From_______________________________ To ________________________________
Position Change
Leave of Absence
Other
_______________________________________________________________________
Termination of Employment
Last Working Day: ______/______/______
Eligible for rehire?
Yes
No (if no, list reason) _______________________________________________________________
Select ONE reason for separation:
Voluntary:
Dissatisfied w/ job or company
Retirement
School
No Call/No Show
Better job/pay/benefits/hours
Medical-self or family
Relocating
Family issues
Other________________________________________________
Involuntary:
Poor performance
Gross Misconduct
Contract Ended
Unqualified for job
Violation of company policy/procedure
Unprofessional conduct
Remarks:______________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Parish/School/Agency Signature:______________________________________________________________ Date:_______________________
Here are some key takeaways about filling out and using the Employee Status Change form:
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Completing the Employee Status Change form is an important step in ensuring that any changes to your employment status are accurately recorded. Once you fill out the form, it will be submitted to the appropriate department for processing. Make sure to provide all necessary information to avoid delays.