HR Change of Terms Letter

HR CHANGE OF TERMS LETTER

Employer Name:    Employee Name:

Date of Notice:    Effective Date of Change:

Personal Information

Position Information

Summary of Changes

The following terms of employment are revised effective as of the Effective Date above. Check all items that apply and provide the requested details where indicated.

Salary or pay rate    Work hours / schedule    Job duties / responsibilities

Benefits plan / eligibility    Work location    Exempt / non-exempt classification

Consideration and Acknowledgment

In consideration of the revised terms described above, Employee acknowledges and agrees that the changed terms shall govern Employee's employment with Employer beginning on the Effective Date unless otherwise specified in writing. Continued employment following the Effective Date shall constitute acceptance of the changes set forth in this letter unless Employee executes the Decline option below in the timeframe indicated.

Employee must communicate acceptance by signing below. If Employee does not accept by signing and returning this Letter within days of receipt, Employer reserves the right to consider non-acceptance and to take appropriate action consistent with company policies.

Selection:    I accept the changes as set forth and agree to the revised terms.    I do not accept the changes. I understand that Employer may treat this as a voluntary resignation or may initiate separate action consistent with company policy.

Employment History (Most Recent)

Employment History (Prior)

Education

References (Professional)

Legal Disclosures

At-Will Employment: Unless otherwise set forth in a signed written agreement between Employer and Employee, employment remains at will. Either Employer or Employee may terminate the employment relationship at any time, with or without cause or prior notice, subject to applicable law.

Equal Employment Opportunity: Employer is an equal opportunity employer. Employment decisions are made without regard to protected characteristics and in accordance with applicable law.

Applicant / Employee Certifications and Authorizations

I certify that all information contained in this document and any attachments is true, correct and complete to the best of my knowledge. I understand and agree that any material misrepresentation or omission may be grounds for disciplinary action, up to and including termination of employment.

Authorization: I authorize Employer to contact prior employers, references, and educational institutions listed above for the purpose of verifying my employment, education, and qualifications. I also authorize Employer to conduct background checks to the extent permitted by law. I understand that such checks may include, but are not limited to, verification of prior employment, education records, and criminal history where permitted.

Consent to Background Check: I consent to the background checks and verifications described above.

Additional Terms and Notices

Any modification to this Letter must be in writing and signed by an authorized representative of Employer and by Employee. No oral statements by any representative of Employer will modify the terms of this Letter. This Letter, together with any documents expressly incorporated herein, contains the entire agreement between Employee and Employer with respect to the subject matter herein.

By signing below, Employee acknowledges receipt of this Change of Terms Letter and either accepts or declines the revised terms as indicated above.

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