Edko Payroll New Hire and Change Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Employee Name (Legal Name)

• Position or Title

• Social Security Number

• Effective Date

  Date

• District

Employee Status

• New Hire

  Select Introductory Full Time Part Time

  • Introductory
  • Full Time
  • Part Time

• Re-Hire

  Select Full Time Part Time

  • Full Time
  • Part Time

• Change Status to:

  Select Full Time Part Time Terminated Lay-off Quit

  • Full Time
  • Part Time
  • Terminated
  • Lay-off
  • Quit

Pay Rate

• Introductory Rate (if applicable)

• Full-Time Rate

• Change Pay Rate (increase or decrease)

Position or Location Change

• Transfer to New Location

• Change Job Title

• Address and/or Phone Number Change

• Comments/Reason for Termination or Quitting

• Authorized By

  Sign

• * If this change requires approval, please copy your direct manager.