Payroll Change Form

This form is used by the Human Resources department to request and document any changes made to an employee’s payroll details, including changes in compensation, classification, or employment status.

Employee Information

• Full Name: {employeeName}
• Employee ID: {employeeId}
• Department: {department}
• Position: {position}
• Manager/Supervisor: {manager}

Change Details

• Effective Date of Change: {effectiveDate}
• Type of Change: {changeType}
• Reason for Change: {reason}

{#hasSalaryChange}

Salary Adjustment

• Previous Salary: {previousSalary}
• New Salary: {newSalary}
• Pay Frequency: {payFrequency}

{/hasSalaryChange}

{#hasJobChange}

Job Classification Change

• Previous Title: {previousTitle}
• New Title: {newTitle}
• Previous Classification: {previousClassification}
• New Classification: {newClassification}

{/hasJobChange}

{#hasEmploymentStatusChange}

Employment Status Change

• Previous Status: {previousStatus}
• New Status: {newStatus}
• Comments: {statusComments}

{/hasEmploymentStatusChange}

Approvals

Additional Notes/Comments

{comments}

HR Use Only

• Form Received Date: {receivedDate}
• Processed By: {processedBy}
• Date Processed: {processedDate}