Payroll Status Change Form
Download a blank fillable Payroll Status Change Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Payroll Status Change Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Payroll Status Change Form
NAME:
BRANCH #:
TODAY’S DATE:
DATE EFFECTIVE:
NEW EMPLOYEE
JOB TITLE
WORK SCHEDULE
RATE OF PAY
(biweekly rate if salaried employee)
EMPLOYEE STATUS CHANGE
FROM:
TO:
JOB TITLE
DEPARTMENT
WORK SCHEDULE
RATE OF PAY
REASON FOR CHANGE:
REMOVE FROM PAYROLL
o VOLUNTARY TERMINATION ______________________________________
o INVOLUNTARY TERMINATION_____________________________________
o LAID OFF: _____________________________________________________
o FMLA:________________________________________________________
o OTHER:_______________________________________________________
*if any other reason than voluntary, explanation is required*
Manager Signature: ___________________________________
HR Signature:_________________________________________
SUBMIT FORM ( by email )
PRINT FORM
Q Drive: Corp\Human Resources\ Human Resources\ Personnel Forms\Payroll Status Change Form NEW
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business