HR Change Process Template

HR CHANGE PROCESS TEMPLATE

Requestor / Employee Information

Employee Name:   Employee ID:

Position & Employment Details

Current Job Title:   Department:

Reporting Manager:   Work Location:

Type of Change Requested

Select all that apply:
Position / Title change    Salary / Compensation change    Department / Reporting change
Full-time / Part-time / FTE change    Location / Remote status    Employment status (e.g., active, leave, termination)
Job description update    Other:

Compensation / Payroll Impact

Reason for Change & Justification

Implementation Checklist

Required actions to effect change (check when complete):
Benefits enrollment/update completed    Payroll updated
HRIS / Access systems updated    Job description posted/updated
Security/IT access reviewed    Immigration / compliance review (if applicable)

Communications Plan

HR & Management Review

Manager Review:   Title:   Review Date:

HR Review:   Title:   Review Date:

Records & Systems To Update

Employment History (Required)

Education

Professional References

Legal Disclosures & Applicant Certification

At-Will Employment: I acknowledge that submission of this request does not alter the at-will nature of employment where applicable. Either the employer or the employee may terminate the employment relationship at any time, with or without cause, unless otherwise specified in a signed agreement.

Equal Employment Opportunity: The employer maintains a policy of non-discrimination and equal employment opportunity. Decisions regarding this request will be made in accordance with applicable laws and company policies.

Applicant Certification: I certify that all information provided in this form is true, complete and accurate to the best of my knowledge. I understand that false statements or omissions may constitute grounds for denial of this request or disciplinary action up to and including termination.

Authorization: I authorize the company and its designated agents to contact prior employers, references and educational institutions to verify information provided herein and to conduct background checks where permitted by law. I understand that any offer or change granted may be conditioned on clear results of such verifications.

I certify that the statements above are true and that I authorize the described verifications.

Attachments / Supporting Documentation

Administrative Use Only

HR Case Number:   Processed By:

Final Disposition:
Approved    Denied    Pending Additional Review

Notes:

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