Employee Change Form - Innovation Works



Employee Name: ______________________________Date of Hire: ____________________Job Title: ____________________________________ Department _____________________Reason for Adjustment: PRIVATENew Hire Change in Salary Grade Promotion Part-Time to Full-Time Merit Increase Temporary to Regular OtherCurrent Performance Rating: _____________________ Last Performance Rating: _______________________Date of Last Increase: __________ Percentage: _________ Amount: ___________Current Grade: __________Range: ________ _________ __________Comp-Ratio: ________Minimum–Midpoint–MaximumNew Grade: ____________Range: ________ _________ __________ Comp-Ratio: ________Minimum–Midpoint–MaximumPRIVATEAnnual Salary(Exempt)Biweekly(Nonexempt)HourlyCurrent PayNew PayChangeEffective Date: _______________________ Percent Increase: _____________________Authorizations:Supervisor: __________________________________Date: _________________________Department Head: _____________________________Date: _________________________Human Resources: ____________________________Date: _________________________ ................
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