EMPLOYEE ACTION FORM - Download as DOC by hn6D35bR

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									                       EMPLOYEE ACTION FORM
I.D. NUMBER:                           EMPLOYEE
                                          NAME:
                                                     LAST , FIRST MIDDLE
Primary Department:                             Primary Employee Class:
EMPLOYEE STATUS:
Active         Personal Leave                                    Sabbatical                       Terminated
               ___ With Pay             ___ With Benefits         ___ Full          ___ Half
ACTION:
 New Hire        New Contract            Supervisor/Dept            Title Change        Merit Increase          Other:
                                          Change
 Temporary       Termination             Re-Classification          Promotion           Interim Increase
Hire                                      of Job
JOB INFORMATION:
POSITION/TITLE:                                                               BEGIN DATE:
                                                                                               MONTH          DAY         YEAR
POSITION NUMBER:                           New Posn?  Yes No
                                           Old Posn #:                         END DATE:
                                                                                               MONTH          DAY         YEAR
SUPERVISOR:
JOB LOCATION:                          Out of State/Country:                    JOB FTE:        HRS/WK (if applies):
                   Building/Floor
WORKERS                              8809 Exec Officer               8871 Telecommuter                9101 Other
COMPENSATION                         8810 Office                     8868 Professional
LABOR DISTRIBUTION:                                                                 COMPENSATION:
FUND       ORG             ACCT                  PROG                PERCENT         HOURLY      ANNUAL        ONE PAYMENT


                                                                                    $
EMPLOYEE CLASS:             Primary          Secondary  Overload
 EM – Emeritus                               FO – Faculty Overload                        SN – Staff Full-time Non-exempt
 EX – Executive                              FP – Faculty Adjunct                         SO – Staff Overload
 FC – Faculty Chair/Director Stipend         FS – Faculty Administrative                  SP – Staff Part-time Exempt
 FL – Faculty Library                        SE – Staff Exempt                            TE – Temporary Exempt
 FN – Fulltime Faculty                       SH – Staff Part-time Non-exempt              TN – Temporary Non-exempt
COMMENTS:                                               HR Entry                                   Payroll Entry

                                                            Received:

                                                            To Payroll:
APPROVAL:
       Department
       Supervisor      Print Name:                               Signature:                               Date:

 Dean/Department
            Head       Print Name:                               Signature:                               Date:

       President’s
  Cabinet/Exec/VP      Print Name:                               Signature:                               Date:
          Additional
           Approval    Print Name:                               Signature:                               Date:

Human Resources
        Director       Print Name:     Janis Townsend            Signature:                               Date:




                                                                                                                    Updated 7/18/12

								
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