Change of Status

HR_FOR_20.1

Record a change to an employee's site, employment status, wage/salary or roster. Complete only the sections that apply. Once submitted, this form is sent to HR.

Don't fill this out:

Employee Details

Employee Name*

Employee No*The four-digit number given at onboarding — find it on the employee's payslip.

Position*

Department*

Manager Name*

Job Information

Complete this section if the employee is changing their permanent site.

Start Date

New Roster

Current site

Same site (no site change)

New site

New Manager

Employment Status

Complete this section if the employee's employment status is changing.

Applicable from

Previous Employment Status

New Employment Status

If "Other", please specify

Wage / Salary

Complete this section if the wage/salary is being altered.

Applicable from

Current Wage / Salary ($)

New Wage / Salary ($)

Allowances (current, if applicable)

Allowances (new, if applicable)

Reason for Change

Wage / salary increase Change of roster Promotion / Transfer Current contract finished Change of city

Other reason

Authorisation

Have the employee sign in the box below using a mouse or finger. The Finance Manager will counter-authorise on receipt.

Employee signature*

Date*

Immediate Manager signature (type full name)

Date

Submitted by

Identify yourself so HR knows who submitted this form.

Requestor (account manager)*

Your email

If "Other", type your name

Date submitted*