Employee Change of Status
Instructions

The Employee Change of Status Form is used to submit changes or updates to existing employee records.
The completed form is submitted to Human Resource Services for processing. In case of any questions with regards to this form or technical issues please contact hr@vistatrans.com department or our help desk  help@vistatrans.com 
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Employee Name *
Please indicate the Employee's Name with whom these changes will be applied.
Address
In case of any change or update
Social Security Number
In case of any update
Phone number
In case of any change or update
Personal e-mail
In case of any change or update
Effective Date *
Please indicate expected date of change
MM
/
DD
/
YYYY
Hereby I declare the following changes *
Required
EMPLOYMENT CHANGES
New Title
Please type New Title in case of change
New Classification
New Wage Rate
Please specify (per week, month or year)
Percentage Change
If applicable
New Manager/Department
Please specify the name of new Manager and precise the Department name if applicable
Instructions
Please provide any additional information with regards to changes you plan.
BENEFIT CHANGES
Benefits Affected
Instructions
Please add any additional instructions with regards to the Benefit Change.
SIGN OF
Please make sure that all changes mentioned it this form has been discussed and approved by your immediate supervisor, Director HR Org. Development, Respective VP, and Board for all Managerial and above positions.
Initiator's Name and Position
Hereby I confirm that all changes has been discussed and approved as per process:
Immediate Supervisor's Name and Position
Hereby I confirm that all changes has been discussed and approved with:
Approver's Names and Positions
Hereby I confirm that all changes has been discussed and approved with following peoples:
Submit
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