Fillable CHANGEOFSTATUSFORM CityofStephenville Name(Last,First,MiddleInitial) Employee# DateSubmitted EffectiveDate EmployeeStatus(checkone) Dept# (City of Stephenville)

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CHANGEOFSTATUSFORM CityofStephenville Name(Last,First,MiddleInitial) Employee# DateSubmitted EffectiveDate EmployeeStatus(checkone) Dept# (City of Stephenville)

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The CHANGEOFSTATUSFORM CityofStephenville Name(Last,First,MiddleInitial) Employee# DateSubmitted EffectiveDate EmployeeStatus(checkone) Dept# (City of Stephenville) form is 1 page long and contains:

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  • 36 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Stephenville

BROWSE CITY OF STEPHENVILLE (TX) FORMS

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CHANGEOFSTATUSFORM
CityofStephenville
Name(Last,First,MiddleInitial) Employee# DateSubmitted
EffectiveDate EmployeeStatus(checkone) Dept# DeptName
FullTime PartTime Seasonal
Temporary
NewHire Re‐Hire StepIncrease MeritIncrease EmployeeInfoChange
Leave RemovefromPayroll Other(specify)
CurrentTitle NewTitle(ifchanged)
CurrentWage Certification/EducationPay TotalCurrentWage
NewWage(ifchanged) NewCert/EducationPay TotalNewWage
EmployeeSeparation
VoluntaryResignation Termination
2WeekNotice
Given?
WorkedLast2
Weeks?
LastDayofWork
EligibleforRehire?
Ifno,explainincomments.
Yes
No Yes
No Yes
No
Reason
forLeave
FMLA LTD STD Suspensionw/pay w/opay Other‐seecomments
LeaveStatus DateBeginning
EstimatedReturn
Date ActualReturnDate
Begin
Return
Comments
DepartmentSupervisor DepartmentDirector
HumanResourceManager
AssistantCityManager
CityManager PayrollDepartment
FinanceDirector
AppendixE
Form4
PersonnelAction
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CHANGEOFSTATUSFORM CityofStephenville Name(Last,First,MiddleInitial) Employee DateSubmitted EffectiveDate EmployeeStatus(checkone) Dept (City of Stephenville)

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Completed 16 July 2020

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