SEI/Aaron's, Inc.websites.retailcatalog.us/1360/mm/statuschangeform.pdf · Title: Personnel...
Transcript of SEI/Aaron's, Inc.websites.retailcatalog.us/1360/mm/statuschangeform.pdf · Title: Personnel...
SEI/Aaron's, Inc.3108 Piedmont Road, Suite 202
Atlanta, Georgia 30305-2377 / (404) 495-9707
Personnel Action •••• Status Change
� Type of Change � � Effective Date __________________
Employee Name ___________________ ________________________ ____ Store # _______________ Last First M.I.
Home Address______________________________________________________________________________
City ________________________ State ________________ Zip __________ Social Security # _____________________ Exemptions Federal _________ State __________ Position ________________________________
�� � � � � � � Rate/Salary Special Instructions _________________________________________________________________________
≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡≡ Status Change: From To Store Number ____________________ __________________
Position ____________________ ___________________
� �� �����
Rate/Wage $___________ per _____ $__________ per ______
Termination ____________________ Last day worked Reason for Termination
(Be specific) ____________________________________________________________________________________
Employee Purchase _____ � � Amount to deduct $ _________________________ Authorization Approval #1 Authorization Approval #2 Print Name ____________________________ Print Name ____________________________ Signature ____________________________ Signature ____________________________ Title ____________________________ Title ____________________________