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CHANGES IN PERSONNEL STATUS
EMPLOYEE_____________________________ DATE HIRED_______________, 197_____
DATE CHANGE BECOMES EFFECTIVE___________________, 197_____ ID No._______
EMPLOYMENT STATUS:
( ) Casual
( ) Probation
( ) Regular
( ) Extra
( ) Temporary
( ) _____________
NATURE OF ACTION
WAGE/SALARY ADJUSTMENT
TRANSFER
( ) Promotion
( ) Daily to Monthly
( ) Demotion
( ) Inter-Department
( ) Merit Increase
( ) Intra-Department
CHANGES
PRESENT STATUS
PROPOSED STATUS
Department
_______________________ _______________________
Supervisor
_______________________ _______________________
Position
_______________________ _______________________
Wage or Salary
_______________________ _______________________
Rest Day
_______________________ _______________________
Work Shift
_______________________ _______________________
REASON(S) TO JUSTIFY CHANGE:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
________________________
__________________
________________________
Recommended By (Supervisor)
Date
Dept. Head
CERTIFICATE AS TO COMPLIANCE
APPROVED:
WITH MY CONFORMITY:
TO COMPANY POLICIES:
_________________________
_________________
________________________
Personnel Department
Executive Department
Employee's Signature
DISTRIBUTION: 1-Accounting; 1-Personnel; 1-Dept. concerned; 1-Employee
ORIGINAL
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