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Get and Sign Employee Change Form
TIME_____ PART TIME_____ CONTINGENT_____
POSITION/TITLE______________________________________________DEPT.________________________________
DESCRIPTION OF DUTIES___________________________________________________________________________
__________________________________________________________________________________________________
WAGE RATE _______/HR. OR
SALARY______________________/YR.
B. PAY RATE CHANGE
CURRENT PAYRATE $______________ NEW PAYRATE $_______________
EFFECTIVE DATE...
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