Employee Status Change

EMPLOYEE PROFILE

Employee First Name: Last Name:

Date: Date Effective: 1st or 16th for pay changes

EMPLOYMENT CHANGES
Type of Change Current Information New Information

Department: Department:
Transfer:
Product Suite: Choose an item. Product Suite: Choose an item.
Promotion:
Job Title: Job Title:
Title:
Wage: Wage:
Merit Increase:

Market Adjustment: Exempt or non-exempt Exempt or non-exempt

Manager: Manager:
Bonus:
Bonus Pay Date: Bonus Amount:

NETSUITE CHANGES

Supervisor: Expense Approver:

Time Approver: Purchase Approver:

Role Access: Will match those in same job Subordinate Changes:

ADDITIONAL INFORMATION
Please List Any Other Changes Not Listed Above:

VERIFICATION OF CHANGES
Approved By:

Manager approval: Date:

Director Approval: Date:

VP/Executive Approval: Date:

VP approval only required on items outside of approved plans.
*Administrative Use Only
PT to FT change (benefit changes, PTO, etc.) Schedule 90-day review
Hiring manager complete new hire request form Updated job description
Updated compensation plan Issue/remove credit card
 Employee Status Change
Updated email groups