Hr Processing Unit Change Form (Page 2 of 2) in pdf

Hr Processing Unit Change Form Page 2

HR Processing Unit Change Form Instructions

Agency Name - Agency name

Agency Code - 3 character agency code

Action - Check one box

HR Processing Unit - 7 character code. The identification code of the HR Processing Unit.

Effective Date - Effective date of the action

Description - 30 character maximum field. The description of the HR Processing Unit that displays on

panels and reports. Description should be unique.

Country – USA is the country for all units. No need to complete this field.

Street (Line 1) – 30 character field. Mail delivery address where insurance invoices should be sent.

Street (Line 2) – 30 character field. For dual addresses, place the intended mail delivery address on

this line and the less important address information on line 1.

State – 2 character field. The HR Processing Unit’s state abbreviation.

City – 30 character field. The HR Processing Unit’s city name.

Zip – 9 character field. The HR Processing Unit’s zip code, the 4 character suffix is optional.

Name of person completing this form - The person to contact for questions on this form, if not Table

Administrator. If Table Administrator is completing form, only signature on designated line below is

necessary.

Phone - The phone number (including area code) of the person who completed the form.

Table Administrator Signature - Authorized Signature of designated Table Administrator, this

signature is mandatory. Form will not be processed without this signature.

admserv/sema4/general/hr processing unit change (04/09)

Hr Processing Unit Change Form Page 2