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Personnel Change Form – Status Change
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Employee Name
*
First
Last
Effective Date of Change
*
MM slash DD slash YYYY
Status of:
*
Full Time (40 Hours)
Part Time (less than 40 Hours)
Temporary (FT or PT)
Avg. Weekly Hours
*
Property Name & Number or Corporate Dept.
*
General Ledger Accout
*
Job Title
*
Salary or Hourly Rate
*
Annual Travel Allowance
Annual Phone Allowance
Other (Please provide details)
Manager Name
*
First
Last
Manager Email
*
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