Fillable Labor Release - Adjustment Form (Page 2 of 2) in pdf

Labor Release - Adjustment Form Page 2

Download a blank fillable Labor Release - Adjustment 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 Labor Release - Adjustment 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.

Labor Release / Adjustment Form

Instructions

This Labor Release / Adjustment Form is used:

 Any time there is an adjustment to the original status form contract. This could be a change in a

Work-Learning-Service level (WLS) or in the number of hours being worked.

 Whenever this is a release from a position in the department.

 Any time a student is changing positions within a department.

The form provides needed information on the student, descriptions of the actions being taken, the condition

of the release (satisfactory / unsatisfactory), an abbreviated evaluation, and spaces for signatures. The actions

being taken will determine the necessary sections to be completed. Please complete the appropriate

section(s) and make a copy for your records. Return the original form to student payroll (Fairchild 100) for

processing.

Which Section Should I Complete?

 Section A – This section should be completed on each form providing essential information on the

individual student.

 Section B – Complete this section if you are making an adjustment to a current position in your

department. All adjustments become effective at the beginning of the next payroll cycle. IF THIS

ADJUSTMENT INVOLVES A SUPERVISOR CHANGE, YOU MUST PRINT THE SUPERVISOR NAME FOR

THIS NEW POSITION. This could be an adjustment in the Work-Learning-Service level (WLS) or number

of hours worked and would not involve a release from a position. If making adjustments only, skip

section C, complete section D and submit to student payroll for processing

 Section C – Complete this section any time there is a release from a position in your department. The

release could be from poor performance and the student is leaving the department or it could involve

moving a student to a different position within the same department. This section requires supervisors

to indicate the condition of performance at the time of release (satisfactory/unsatisfactory) and the

completion of an abbreviated evaluation form.

 Section D – This section should be completed before submission to student payroll. The supervisor’s

signature is required on every form. Please note that a student signature is recommended but NOT

required when using the form to release from a position.

In Summary

When making adjustments to a position -- Complete Sections A, B, D

When releasing from a position -- Complete Sections A, C, D

Labor Release - Adjustment Form Page 2

Related Articles

Related forms

Related Categories