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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:_______________________

Documents used along the form

The Employee Status Change form is essential for documenting changes in an employee's role, status, or personal information within an organization. However, several other forms and documents often accompany this form to ensure comprehensive record-keeping and compliance with company policies and legal requirements. Below is a list of related documents commonly used in conjunction with the Employee Status Change form.

  • New Hire Form: This document collects essential information about a new employee, such as personal details, tax information, and emergency contacts. It is crucial for onboarding and payroll purposes.
  • Termination Form: Used when an employee leaves the organization, this form records the reasons for termination and the final steps in the employment process, including exit interviews and return of company property.
  • Asset Transfer Documentation: For seamless ownership exchanges, utilize the detailed asset bill of sale requirements to legally verify transactions and protect all parties involved.
  • Promotion Form: This form details the specifics of an employee's promotion, including the new position, salary adjustments, and any changes in responsibilities or reporting structure.
  • Transfer Form: When an employee is moving from one department or location to another, this form captures the details of the transfer, ensuring that all relevant parties are informed.
  • Leave of Absence Request: Employees use this form to formally request time off for various reasons, such as medical leave, family emergencies, or personal matters. It helps manage staffing and compliance with leave policies.
  • Performance Review Form: This document assesses an employee's job performance over a specific period. It often includes feedback and recommendations for professional development, which can influence status changes.
  • Compensation Change Form: This form is used to document any changes to an employee's salary or benefits. It ensures that adjustments are properly recorded and communicated to payroll.
  • Employee Handbook Acknowledgment: Employees sign this document to confirm they have received and understood the company policies outlined in the employee handbook, which is vital for compliance and accountability.

Using these forms in conjunction with the Employee Status Change form helps maintain accurate records and ensures that both employees and employers are aligned on employment matters. Proper documentation supports a transparent and efficient workplace, fostering better communication and compliance with legal standards.

Similar forms

  • Job Offer Letter: This document outlines the terms of employment for a new hire, similar to how the Employee Status Change form records changes in employment status.
  • Termination Notice: This document formally communicates the end of employment, akin to how the Employee Status Change form can indicate a change to termination status.
  • Transfer Request Form: Employees use this form to request a change in their job location or department, paralleling the Employee Status Change form in documenting internal movement.
  • Promotion Letter: This letter confirms an employee's advancement within the company, similar to how the Employee Status Change form reflects changes in position or title.
  • Salary Adjustment Request: This document is used to request changes in compensation, much like the Employee Status Change form addresses changes in salary or benefits.
  • Leave of Absence Form: This form records an employee's request for temporary leave, which can also be documented in the Employee Status Change form when it affects employment status.
  • Homeschool Letter of Intent: Before beginning the homeschooling journey, ensure you file the necessary documentation with our Washington homeschool letter of intent guidelines for compliance with state regulations.
  • Performance Review Document: This document assesses employee performance and can lead to changes in status, similar to how the Employee Status Change form may reflect outcomes of performance evaluations.
  • Employee Information Update Form: This form is used to update personal information, which can be reflected in the Employee Status Change form when there are changes in employee details.

Misconceptions

Understanding the Employee Status Change form is crucial for both employees and employers. Here are some common misconceptions that can lead to confusion:

  1. Only HR can submit the form. Many believe that only Human Resources can handle the Employee Status Change form. In reality, employees can initiate the process and submit the form themselves.
  2. The form is only for terminations. Some think the form is only necessary when an employee is leaving the company. However, it also applies to promotions, demotions, and changes in job title or department.
  3. Changes take effect immediately. It’s a common belief that any changes made through the form take effect right away. In fact, there may be a processing period before changes are officially recognized.
  4. All changes require a manager's approval. While many changes do require managerial consent, not all adjustments need approval. Some changes, like personal information updates, may not require it.
  5. The form is only for full-time employees. This misconception overlooks that part-time and temporary employees can also use the form to report changes in their status.
  6. Once submitted, the form cannot be altered. Employees often think that once they submit the form, it cannot be changed. In reality, there is usually a process for making corrections or updates if needed.
  7. Submitting the form guarantees a change. Some individuals believe that submitting the form automatically guarantees that their requested change will be approved. Approval is subject to company policy and managerial discretion.
  8. There is no deadline for submission. Many assume that they can submit the form at any time without consequences. However, there may be specific deadlines for certain changes, especially those related to benefits or payroll.

Being informed about these misconceptions can help ensure a smoother process when dealing with the Employee Status Change form.

Understanding Employee Status Change

  1. What is the Employee Status Change form?

    The Employee Status Change form is a document used to officially record changes to an employee's status within the organization. This includes changes such as promotions, demotions, transfers, terminations, or changes in employment status (full-time to part-time, for example).

  2. When should I submit the Employee Status Change form?

    You should submit the form whenever there is a change in an employee's status that needs to be documented. It is important to submit the form as soon as the change occurs to ensure accurate records and timely updates to payroll and benefits.

  3. Who is responsible for filling out the Employee Status Change form?

    The immediate supervisor or manager of the employee is typically responsible for completing the form. However, in some cases, the HR department may assist in filling out the necessary information.

  4. What information is required on the form?

    The form requires several key pieces of information, including:

    • The employee's name and identification number
    • The current status and the new status
    • The effective date of the change
    • The reason for the change
    • Signatures from the supervisor and, if applicable, HR personnel
  5. Where do I submit the completed form?

    After completing the form, submit it to the HR department. Depending on your organization’s procedures, this may be done electronically or in person. Ensure that all required signatures are obtained before submission.

  6. What happens after I submit the Employee Status Change form?

    Once submitted, the HR department will review the form for accuracy and completeness. They will then update the employee's records in the system. You may receive confirmation once the changes have been processed.