Employee Status Change Form

Employee Status Change Form
This Form MUST be submitted within 24 hours of any change.

If there's an employee name or contact information change, the request can be submited through these forms.

Employee Contact Information Change

Employee Name Change
Client Name*
Client ID
Employee Name*
Employee ID
RehiredPayroll Adjustment/Pay Rate/Job TitleTransferOther
Description of Change*
Payroll Administration

Only complete NEW Information
Effective Date*

MonthDayYear
Date
YesNo
FLSA Non-Exempt - Employee must be paid hourly and hours tracked, must be paid for all hours worked.

FLSA Exempt - Employee is exempt from overtime only if they meet qualifications for meeting specific exemptions as outlined by federal or state FLSA, they are paid a weekly amount, should be paid in whole day increments, not necessary to track hours.
Full-TimePart-TimeTemporary Full-TimeTemporary Part-TimeIntern
WeeklyBiweeklySemi-monthlyMonthly
HourlySalaryCommissions
If pay type is Hourly, please provide an hourly rate.

If pay type is Salary, please provide an annual salary.

If pay type is Commission, please provide an estimated annual salary.
Hourly Rate
Salary
Commissions
Client Information
Department Name
Division Name
Location Name
Project Name
Position Name
If we have any questions, we will contact the person who submitted the form.
Client Representative Name

First NameLast Name
Client Representative Signature

Clear
Date

MonthDayYear
Date
Client Representative Email
example@example.com
Should be Empty:

Employee Status Change Form

Payroll Administration

Client Information