Personnel Action Form
Submit a personnel action by filling out the form below.
HR Dashboard
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Directory search is active. Form submission is disabled until
FLOW_URL
is set in the script.
Employee Information
Start typing a name to search the directory.
Employee
*
Please select or enter the employee.
Employee Email
*
Email is required.
Department
*
Please select a department.
Date of Request
*
Date is required.
Action Type
Choose one. The matching section will appear below.
Please select an action type.
Employee Update
Employee Update
Type of Change
*
Position
Department
Manager
Pay Rate
Select a type of change.
Reason for Change
*
Please select a reason.
Please Specify
*
Please describe the reason.
New Title
*
Loading titles…
New title is required.
Specify New Title
*
Please enter the new title.
Employment Type
*
Select an employment type.
New Location
*
Select a location.
New Department
*
Select a department.
New Manager
*
Please select or enter the manager.
New Rate of Pay
(optional)
$
New Department
*
Select a department.
New Manager
*
Please select or enter the manager.
Increase Percentage
*
Select a percentage.
Custom Percentage
*
%
Enter the custom percentage.
New Rate
(optional)
$
Effective Date
*
Effective date is required.
Notes
*
Notes are required.
Employee Bonus
Employee Bonus
Safety bonuses are not submitted here.
Safety bonuses are now issued through AwardCo. Use this form only for merit, job performance, and other discretionary bonuses.
Reason for Bonus
*
Please select a reason.
Please Specify
*
Please describe the reason.
Bonus Amount
*
$
Bonus amount is required.
Effective Date
*
(must be a Monday)
Effective date is required and must fall on a Monday.
Notes
*
Notes are required.
Leave of Absence
Leave of Absence
Leave Type
*
FMLA
Personal LOA
Select a leave type.
Anticipated Begin Date
*
Begin date is required.
Anticipated End Date
*
End date is required.
Notes
*
Notes are required.
Termination
Termination
Last Day Worked
*
(NOT last day of pay)
Required.
Termination Date
*
(official termination date)
Required.
Physical State Worked In
*
Select a state.
Rehire Eligibility
*
Select…
Eligible for Rehire
Not Eligible for Rehire
Select rehire eligibility.
Termination Category
*
Voluntary
Involuntary
Select a category.
Voluntary Reason
*
Select…
Resignation
Retirement
Relocation
Better Opportunity
Personal / Family
Job Abandonment
Other
Select a reason.
Involuntary Reason
*
Select…
Performance
Misconduct
Attendance / No-Show
Layoff / Reduction in Force
Position Eliminated
Policy Violation
Other
Select a reason.
Notes
*
Notes are required.
Please correct the highlighted fields before submitting.
Submit for Approval
All fields marked
*
are required.
Submitted for Approval
Your personnel action has been routed to HR.
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