Fillable CITY OF GREEN BAY PERSONNEL ACTION FORM (City of Green Bay)

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CITY OF GREEN BAY PERSONNEL ACTION FORM (City of Green Bay)

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File type: PDF

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CITY OF GREEN BAY
PERSONNEL ACTION FORM
CURRENT INFORMATION
(Prior to changes made by this form)
Employee Name:
Classification:
Dept./Division:
Effective Date:
Type of Action:
New Hire
End of Probation
Transfer * Work Comp Code______ Termination *
Reclassification
Lay Off
Promotion
Retirement
Grade/Step Change (attach review form)
Death
Salary (changes other than base pay)
Name Change
Other *
Comments supporting this request:
*
Include reason under comments
NEW INFORMATION
(Complete only those areas that have changed)
Employee Name:
Classification:
Dept./Division:
Grade/Step:
Salary:
Approval:
Department Head Date
Approval:
Human Resources Director Date
For Human Resources
Use Only:
Copy to:
Payroll
Benefits
Department
Print completed form and send to Human Resources for signature.
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CITY OF GREEN BAY PERSONNEL ACTION FORM (City of Green Bay)

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Completed 3 August 2020

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