Salary - Team Member Change Form

Team Member Change Form

Please use this form for salaried team members or hourly internal promotions to salaried positions.
Team Member Name*

First NameLast Name
Type of Change*

TerminationPlace on LeaveTransfer between LocationsDemotionPromotionLateral MoveReturn from Leave
Eligible for Rehire Suggestion*

YesNoYes, but...
Does this team member need an email created?*

YesNo
Does this person's email domain need changed based on their new location?*

YesNo
Why is this person not eligible for rehire*
Manager Comp Card Number*
*If the team member already has a manager comp card, please input that number. If this is an hourly to salary promotion, please issue a new card number.
Internal Notes for Rehire Consideration*
Effective Date of Change*

MonthDayYear
If a termination/leave please use this field as the termination or resignation date.
Last Day Worked

MonthDayYear
If different from effective date of change.
Expected Return Date*

YearMonthDay
Date
Days worked during first week of employment back from leave*

MondayTuesdayWednesdayThursdayFridaySaturdaySundayNo Days Worked
Days worked during last week of employment

MondayTuesdayWednesdayThursdayFridaySaturdaySundayNo Days Worked
Current Location*
New Location *
Current Role*
New Role *
Current Rate
New Rate*
Reason for Leaving*
Reason for Quitting*
If this person has direct reports, who should now be the supervisor? *
Remember FOH Team reports to GM and BOH Team reports to Chef in most cases
Which benefits would the team member like to keep? Select all that apply.

MedicalDentalVisionNone
Notes:
Email
example@example.com
Additional Documentation if Necessary

Cancelof
Person Completing this Form*

First NameLast Name
Email of the Person Completing this Form*
example@example.com
Should be Empty: