STAFF CHANGE FORM

Use this form to share ALL staff changes! Once submitted, entries are shared to this spreadsheet. If corrections need to be made, simply submit the form again. Thank you!

Payroll and HR use the spreadsheet to update Gusto, and the benefits system.

You need only fill out the information relevant to the ‘Type of change’ being made. This also applies to which date information is necessary; not all dates - hire, start, effective, last - need not be filled in, depending on the change.

As always, please be as detailed as possible in the Notes, particularly for atypical changes.

Type of change

Employee legal name

First Name

Last Name

Preferred name

CURRENT position information (if applicable)

Current location

Current position

Current schedule

NEW position information (if applicable)

New location

New position

New schedule

Notes

Please be as detailed as possible

Hire date

If new hire, the date the offer letter is signed

YYYY

Effective/start date

Date change takes effect, or first day in-person

YYYY

Last day worked (if different than effective date)

YYYY

Submitted by

Initials are fine

12/13/23 (MF)