City Of Maumelle - Employee Change Of Status
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1CITY OF MAUMELLE
EMPLOYEE CHANGE OF STATUS
(Other than hiring/termination)
EMPLOYEE NAME
DATE
DEPARTMENT NUMBER
EMPLOYEE NUMBER
CHANGE DUE TO:
PROMOTION
MERIT INCREASE
(Check One)
TRANSFER
DEMOTION
OTHER
(Explain in Remarks)
FROM:
GRADE LEVEL
ANNUAL
BI-WEEKLY HOURLY RATE
POSITION TITLE
TO:
GRADE LEVEL
ANNUAL
BI-WEEKLY HOURLY RATE
POSITION TITLE
EFFECTIVE DATE:
(If Effective Date is not at the beginning of a pay period please explain in Remarks)
REMARKS:
APPROVALS:
Supervisor:_____________________________
Date:______________________
Department Head:_______________________
Date:______________________
Human Resources:_______________________
Date:______________________
Mayor:_________________________________
Date:______________________
Payroll Updated
Date:______________________
(Payroll will only be updated when all signatures are received)
THE ORIGINAL OF THIS FORM MUST BE RETURNED TO HUMAN RESOURCES
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Parent category: Business