Employee Status Change Template

Employee Status Change Template

The Employee Status Change form is a crucial document used by organizations to formally 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. Understanding its importance can help streamline HR processes and maintain accurate employee information.

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The Employee Status Change form serves as a crucial tool for organizations to document and manage changes in an employee's status within the company. This form captures a variety of significant information, including promotions, demotions, transfers, and terminations. By utilizing this form, employers can ensure that all adjustments to an employee's role are formally recorded, which aids in maintaining accurate personnel records and facilitates compliance with labor regulations. Additionally, the form often requires details such as the effective date of the change, the reason for the adjustment, and any alterations in compensation or benefits. This comprehensive documentation not only helps in streamlining internal processes but also provides clarity and transparency for both the employer and the employee. Understanding the nuances of this form is essential for human resources professionals and managers alike, as it plays a vital role in the overall employee lifecycle and organizational structure.

Employee Status Change Sample

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:_______________________

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Key takeaways

Filling out and using the Employee Status Change form is an important process for both employees and employers. Here are some key takeaways to keep in mind:

  • The form is essential for documenting any changes in an employee's status, such as promotions, transfers, or terminations.
  • Always provide accurate and up-to-date information to avoid delays in processing the change.
  • Both the employee and the supervisor should review the form before submission to ensure completeness.
  • Signatures from both parties may be required to validate the changes being requested.
  • Submit the form to the human resources department as soon as possible to ensure timely updates to payroll and benefits.
  • Keep a copy of the submitted form for your records, as it serves as proof of the changes made.
  • Be aware of any deadlines for submitting the form, especially if the change affects payroll or benefits.
  • Consult with HR if you have questions about the process or need assistance filling out the form.
  • Failure to properly complete the form may result in administrative errors, affecting the employee's pay or benefits.