Personnel Change Notification

Employee Information

Employee Name

Employee ID

Status Change Date

Position Changes

Current Position

New Position

Current Labor Category

New Labor Category

Supervision Changes

Current Supervisor

New Supervisor

Employment Type Changes

Current Employment Type

New Employment Type

Department Changes

Current Department

New Department

Organization Changes

Current Organization

New Organization

Additional Information

Additional Notes

Compensation & Benefits

Salary

2nd Shift

3rd Shift

End of Tour Bonus

Worker's Comp

Timesheet Approver Email

Time Off Benefits

Vacation

Holiday

Floating Holiday

Sick Days

Health / Wellness

Financial Notes

Additional Financial Notes

CONFIDENTIAL: Contains sensitive PII. For intended recipient(s) only. Unauthorized disclosure prohibited and may violate regulations. If received in error, notify sender and delete immediately.