Title Page
-
Site conducted
-
Date Form Completed
-
Prepared by
-
Employee Name
-
Date Change Effective From
-
Change in Salary
-
Details
-
Change in Title
-
Details
-
Change in Department
-
Details
-
Change in Contracted Hours
-
Details
-
Change in shift pattern (non contractual)
-
Is this change permanent, or on a secondment
-
Please give Length of Secondment eg 6 months
-
Please give Details
-
Employee Name and Signature
-
Line Manager Name and Signature
