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PAYROLL CHANGE NOTICE FORM Signature of Person 2010-2023
Inactive Temporary Effective Date Average hours to be worked per week Reason s for Change Merit Increase Cost of Living Adjustment Layoff Probation Completed Length of Service Increase Suspension Promotion Re-evaluation of Job Transfer Increased Responsibilities Demotion Leave of Absence Check One Pay Cycle Medical Change from Maternity Other Military Educational Other Comments Please complete this section if applicable Supervisor Change responsible for managing this employee s hours Job Title...
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