Employee Change Form
Reason for change
Promotion
Demotion
Change is salary
Transfer
Termination
Other
Profile of the Employee
Employee Name
First Name
Last Name
ID #
Position/Job Title
Department
Name of Supervisor
First Name
Last Name
Number of Experience (years)
Current Salary ($)
Employment Changes
New Position/Job Title
New Department
New Name of Supervisor
First Name
Last Name
New Current Salary ($)
Approver Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: