N FOR CHANGE Hired Merit Increase Probationary Period Ended Re-Hired Step Increase Promotion Disciplinary Time Off Transfer Other (see Additional Comments) FROM TO Department Step Increase Rate / Salary SEPARATION OF EMPLOYMENT Termination-Voluntary Termination-Involuntary Resignation Lay Off CITY PROPERTY RETURNED Building Access Key/ Fobs Cell Phone/Pager Laptop/I-pad/Other Technology Other Equipment/Tools ELIGIBLE FOR RE-HIRE Yes No Retirement Last Day Worked Additional Comments.

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How to fill out the IA Uniquely Urbandale Payroll Status Change Form online

Filling out the IA Uniquely Urbandale Payroll Status Change Form online can streamline the process of documenting changes in payroll status. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the IA uniquely Urbandale payroll status change form.

  1. Click the ‘Get Form’ button to access the form and open it in your online document editor.
  2. Begin by entering your name in the 'Employee Name' field. Make sure to use your full legal name as it appears in your identification documents.
  3. Select your employment type by marking either 'FT' for full-time, 'PPT' for part-time temporary, or 'PT' for part-time in the appropriate checkbox.
  4. In the 'Position' section, specify your current job title. This helps HR understand your role within the organization.
  5. Fill in the 'Department' field with the name of the department you belong to, ensuring accuracy for processing.
  6. Indicate the 'Effective Date' of the status change. This could be the date of a promotion, transfer, or other change.
  7. Choose the appropriate reason for the change from the list provided, such as 'Hired', 'Promotion', 'Transfer', or other reasons. If applicable, use the 'Additional Comments' field to provide further clarification.
  8. Clearly mark the previous department, rate/salary, and the new department if applicable, within the 'FROM' and 'TO' sections.
  9. For separation of employment, select the relevant option: 'Termination-Voluntary', 'Termination-Involuntary', 'Resignation', or 'Lay Off'.
  10. Indicate if any city property has been returned by checking the corresponding items, such as building access keys or technology.
  11. Specify whether you are eligible for re-hire by selecting 'Yes' or 'No'.
  12. If applicable, enter your last day worked and any additional comments or instructions in the provided field.
  13. Complete the 'Department Authorization' section by including the signature and date from your department head.
  14. Ensure HR approval is obtained by leaving space for the HR representative to sign and date the form.
  15. Finally, after completing the form, make sure to save your changes. You may choose to download, print, or share the finalized form as needed.

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IA Uniquely Urbandale Payroll Status Change Form Form

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