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Employee Information Form

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Employee Information Form Powered By Docstoc
					This document sets forth information to be completed by a new hire or an existing
employee seeking a status change. This form contains boxes for an employer or
manager to check-off, such as reasons for the status change, the employee’s job title
and salary, the employee’s new work status (full-time, part-time, or temporary), as well
as an additional checklist for materials that should be provided to all new hires. This
document is useful to employers and human resources departments to record
information related to a new employee hire or change to an employee’s employment
status.




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                          NEW HIRE & STATUS CHANGE REQUEST

Employee Name: ______________________________                              Effective Date:       _____/_____/______

Social Security: _______/_____/_______

REASON FOR CHANGE:
        New Hire                  Change of                         Review                          Bonus / Wage
        Rehire                     address/phone           3 Month 6 Month Annual                  Adjustment
        Status                                               Other (Add Comments)                 (Add Comments)
         Change
        Job Change                                      Next Review Due:____/____/____
Comments:                                                     Change address/phone to:




MARK ONLY THOSE AREAS THAT APPLY
                Change(s) From                                              Change(s) To OR New Hire
Job Title
Department
Hourly / Salary $                                                           $
Rate
Status                F/T    P/T TEMP                                                  F/T   P/T        TEMP
                    Non-exempt    Exempt                                             Non-exempt          Exempt

_______________________                                                    ______________________
Employee Signature                   Date                                  Manager Signature             Date
_______________________                                                    ______________________
Supervisor Signature                 Date                                  Executive Signature            Date



New Hire Checklist:
(For Administrative Use Only)

FORM
 Employment Application                                                 Emergency Contact Information
 Background Check Consent                                               Employee Benefits Addendum
 Drug Test Consent                                                      HIPAA Packet Documents
 Confidentiality Agreement                                              Voluntary Survey
 Direct Deposit                                                         Employee Handbook
 Payroll Deduction
 I-9 and Supporting Documents
 W-4
 Employee Handbook Acknowledgment
 Job Description



© Copyright 2013 Docstoc Inc. registered document proprietary, copy not                             2

				
DOCUMENT INFO
Description: This document sets forth information to be completed by a new hire or an existing employee seeking a status change. This form contains boxes for an employer or manager to check-off, such as reasons for the status change, the employee’s job title and salary, the employee’s new work status (full-time, part-time, or temporary), as well as an additional checklist for materials that should be provided to all new hires. This document is useful to employers and human resources departments to record information related to a new employee hire or change to an employee’s employment status.
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