Hourly - Team Member Change Form

Team Member Change Form

Hourly Team Members Only
Type of Change*

RehirePlace on LeaveTransfer between LocationsBack from LeaveWage IncreaseVacation RequestAdditional Job In POSTermination
Team Member Name*

First NameLast Name
Team Member Current Email *
example@example.com
Team Member Current Phone Number*
Please enter a valid phone number.
Employee ID*
Last 4 digits of SSN*
Eligible for Rehire Suggestion*

YesNoYes, but...
Wage Increase Reason*
Why is the person not eligible for rehire
Please only complete is your answer for rehire suggestion is "No."
Internal Notes for Rehire Consideration
Please submit any additional information that may be helpful when selecting "Yes, but..."
Effective Date of Change*

MonthDayYear
If a termination/leave please use this field as the termination or resignition date.
Wage Increase Effective Date *

MonthDayYear
Please allow time for approval from your DO.
Last Day Worked*

MonthDayYear
If different from effective date of change.
Rehire Date*

MonthDayYear
What is the first day they will be working in your restaurant?
Expected Return Date*

YearMonthDay
Date
Current Location*
New Location *
Your Location *
Previous Location if Different from Yours *
The rehire will be required to log into the previous CRG profile with ADP to complete some tasks. Does this person need us to send a password reset to their current email address?*

yesno
Current Role*
New Role *
Current Rate*
New Rate*
Reason for Leaving*
Please attach any coaching/counseling forms you have for this team member's performance to the Jotform and/or include summaries of your conversations regarding their underperformance below.*
Reason for Quitting*
If this person has direct reports at their previous location, who should now be the supervisor at that location upon their transfer? *
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
New Jobs Needed for POS (check all that apply)

ServerBartenderBusserExpoHostServer AssistantCookDishwasherFood RunnerJanitorial/MaintenanceBar BackFOH TraineeBOH Trainee
Pay Rate/s
Pay Rate/s for New Job code/s
Job Needed for POS (**This will go to your DO for approval)

Hourly Manager
Pay Rate
Pay Rate for Hourly Manager Role
Additional Rates (list job and rate)
Vacation Start Date *

MonthDayYear
Date
Number of Vacation Hours Requested*
Current Pay Rate*
Email
example@example.com
Additional Documentation if Necessary

Cancelof
Notes:
Person Completing this Form*

First NameLast Name
Email of the Person Completing this Form*
Supervisor Email
Optional For Notification Only
Should be Empty: