Headcount Requisition Form
Legal Entity
Specify (CPL, CRI or Selient)
Position Title
Please indicate the number of positions required to fill as well
Location
Location where this position would be placed
Job Details
New Position
Backfill
Other
Reporting Manager
First Name
Last Name
Job Code
Location where this position would be placed
Department
Senior Leader
First Name
Last Name
Position Type
Permanent, Full-time
Permanent, Part-time
Contract, Full-time
Contract, Part-time
External Contractors (not on payroll)
Target Salary
Bonus %
Job Grade
Other
Budget Impact
Role is included in the Plan
Role is not included in Plan
Business Justification
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Manager Signature
To Be Completed By HR
Full Name of New Hire
First Name
Last Name
Start Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Source
Check all that apply
Payroll Notified
IT Notified
Finance Partner notified
Other
Submit
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