JOB CHANGE FORM Use to change or renew appointments for non-faculty

INFORMATION BELOW IS REQUIRED FROM UNIT or DEPARTMENT
Action Requested: Choose an item. / Requested By: Click here to enter text.
Employee Name (Last, First MI): Click here to enter text. / EID (if known): Click here to enter text.
Department: Click here to enter text. / Job Record (if known): Click here to enter text.
APPOINTMENT CHANGES- Add Information for Changes Only
Start Date: Click here to enter text. / End Date: Click here to enter text. / ☐ Indefinite Change
Change Current Position # Information or ☐ Create a New Position #
Payroll Title: Click here to enter text. / Appt Type Choose an item. / Supervisor: Click here to enter text.
Department: Click here to enter text. / ☐ Change Home Department / Location: Click here to enter text.
Pay Rate Click here to enter text. / Pay Type: Choose an item.
Hours per Week: Click here to enter text. / ☐ Variable
CALTIME CHANGES
Meal Break: Choose an item. / Comp Time Election: Choose an item. / Shift Length: Choose an item. / Shift Occurs: Choose an item.
Friendly Name: Click here to enter text. / Type: Choose an item.
FUNDING CHANGES
Start Date / End Date / Earn Code / % / GLBU / Fund / Org ID / Program / Chartfield 1 / Chartfield 2 / Budgeted FTE / Work Study Code
APPROVALS (as needed)
Attach email approval if needed in lieu of signature below
Supervisor / Name: Click here to enter text. / Signature:
Fund Manager / Name: Click here to enter text. / Signature:
Unit Manager / Name: Click here to enter text. / Signature:
INFORMATION BELOW WILL BE COMPLETED BY CSS HR PARTNER/GENERALIST
Action Needed: Choose an item.
Time Code: Choose an item. / Pay Schedule: Choose an item. / Leave Code: Choose an item.
Department Org ID: Click here to enter text. / Location: Click here to enter text. / Title Code: Click here to enter text.
Step: Click here to enter text. / Earning Code: Click here to enter text. / BELI: Choose an item.
NOTES
Click here to enter text.
Attached: ☐ Job Description & PEM ☐ Waiver Approval ☐ Offer Letter/ Contract ☐ Job Classification Confirmation
Compensation Analysis ☐ Union Approval

Released September 2015