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Free Employee Status Change PDF Form

The Employee Status Change form is a crucial document used by organizations to officially record any changes in an employee's status, such as promotions, transfers, or terminations. This form ensures that all relevant departments are informed and can update their records accordingly. To facilitate a smooth transition, it’s essential to fill out the form accurately and promptly; click the button below to get started.

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Outline

The Employee Status Change form serves as a critical tool for organizations to document and manage changes in an employee's work status. This form encompasses a variety of scenarios, including promotions, demotions, transfers, and terminations, ensuring that all relevant information is captured systematically. By providing a structured approach to these transitions, the form facilitates clear communication between employees and management. It typically requires essential details such as the employee's name, identification number, the nature of the change, and effective dates, along with any necessary approvals. Utilizing this form not only helps maintain accurate personnel records but also supports compliance with company policies and employment laws. Furthermore, the completion of the Employee Status Change form can significantly impact payroll processing, benefits administration, and overall workforce management, making it an indispensable component of human resources operations.

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Key takeaways

Filling out and using the Employee Status Change form is an important process for maintaining accurate employee records. Here are some key takeaways to consider:

The form must be completed promptly to ensure that changes in employment status, such as promotions or terminations, are recorded accurately.
All sections of the form should be filled out completely to avoid delays in processing the changes.
After completion, the form should be submitted to the appropriate department for review and approval.
It is advisable to keep a copy of the submitted form for personal records, as it serves as documentation of the change.

Form Preview Example

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)		Hours per week: _________
Temporary	(Less than 6 months)		Hours per week: _________
On Call	(As Needed)

Salary Establishment/Change
Type of Change:		New Hire		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				From_______________________________ To ________________________________
Leave of Absence				From_______________________________ To ________________________________
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			Other________________________________________________

Remarks:______________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

Parish/School/Agency Signature:______________________________________________________________ Date:_______________________