Fillable Personnel Action Change Form June 2018 Fill California Lutheran University

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Personnel Action Change Form June 2018 Fill California Lutheran University

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The Personnel Action Change Form June 2018 Fill California Lutheran University form is 1 page long and contains:

  • 2 signatures
  • 9 check-boxes
  • 40 other fields

Country of origin: US
File type: PDF

U.S.A. forms for California Lutheran University

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PERSONNEL ACTION CHANGE FORM
Employee Name
Employee ID
Effective Date
*If the type of change is not listed, the change must be processed in eMAP.
Employee Signature Date
Department Head/Budget Manager Signature (if applicable) Date
Vice President or next level approval (if applicable) Date
RRJ 06/26/18
REASON FOR CHANGE
Pay
Department Assignment / Allocation between Departments
Supervisor
Work Schedule
Directory Information
Biographic
CHANGE
FROM
TO
PAY
$
$
BUDGET/GL
DISTRIBUTION
%
%
%
%
%
%
SUPERVISOR
ALT SUPERVISOR
WORK SCHEDULE
DIRECTORY INFORMATION
EXTENSION
MAIL CODE
BUILDING
OFFICE
BIOGRAPHIC
NAME CHANGE (must also provide copy of ssn card)
ADDRESS
CITY
STATE
ZIP CODE
HOME PHONE
CELL PHONE
For HR/Budget Office Use:
Colleague eMAP Manage My Benefits HR Processed: /
Budget Authorization: PCN:
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Personnel Action Change Form June 2018 Fill California Lutheran University

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Completed 21 February 2020

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