Payroll Change Notice Forms

Payroll Change Notice Form | 2-Part Carbonless, 5½" x 8½"

A form used to communicate clearly with the payroll department about any employee payroll change. It's printed on clean 2-part carbonless NCR paper so the originator keeps a copy of every payroll change authorized. It includes quick check-mark boxes for the most common change types and a large explanation area for special circumstances.

Who uses it
Works for all departments and all types of payroll changes — any manager, HR staff, or payroll administrator authorizing a change to an employee's pay, position, or status.

Main benefits

• Documents exactly when an employee last received a raise, who authorized it, and how much
• Quick check-mark boxes cover the most common change types (department, position, job, shift, rate, and more)
• Large explanation area for special or unusual circumstances
• 2-part carbonless copy keeps a record for the originator, not just payroll
• Helps prevent employee discrimination claims through proper documentation
• Custom design option available with a free design service

Specifications

Form fields included
Employee name, Social Security number, clock number, effective date and time, department, and a "The Change(s)" section with check-boxes for Department, Position, Job, Shift, Rate, and Other, each with From/To columns. A "Reason for the Change(s)" section covers Hired, Re-Hired, Promotion, Demotion, Transfer, Merit Increase, Union Scale, Probationary Period Completed, Length of Service Increase, Resignation, Re-Evaluation, Retirement, Layoff, Discharge, Leave of Absence (with From/Until dates), and Other, plus Authorized By / Approved By signature and date lines.

Department / use case
Human resources / payroll — used across any department whenever an employee's pay, position, shift, or employment status changes, to create a documented, dated, and authorized record.

Custom orders
To place a custom order, call 866-348-6414. Ask about the free design service.