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Payroll Change Form Template
https://www.smartsheet.com/try-it?trp=12402&utm_source=template-google-sheet&utm_medium=content&utm_campaign=SEO
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Employee Name
Today's Date
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Employee ID
Date Effective
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Position Title
Department
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Type of Request
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New EmploymentBegin DateEnd Date
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Average Daily HoursStart TimeEnd Time
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Length of Unpaid Breaks
Length of Paid Breaks
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Hourly Rate $ - Salary Amount $ -
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Contract PositionInitial Rate $ - Revised Rate $ -
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Change of PositionInitial Rate $ - Revised Rate $ -
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Change of RateInitial Rate $ - Revised Rate $ -
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Leave of AbsenceInitial Rate $ - Revised Rate $ -
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Termination (complete section below
Initial Rate $ - Revised Rate $ -
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If “Other,” Explain
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Attendance
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Punctuality
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Job Performance
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Evaluation Comments
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Areas of Concern
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Is Re-Employment an Option?YesNoWhy?
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Reason for Recommendation
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Statement of Need
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Special Notes
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Authorization
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Direct Supervisor
Date
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Finance Department
Date
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Executive Director
Date
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