"Employee Planned Work Schedule Change" - Arkansas

Employee Planned Work Schedule Change is a legal document that was released by the Arkansas Department of Transformation and Shared Services - a government authority operating within Arkansas.

Form Details:

  • Released on May 28, 2021;
  • The latest edition currently provided by the Arkansas Department of Transformation and Shared Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas Department of Transformation and Shared Services.

ADVERTISEMENT
ADVERTISEMENT

Download "Employee Planned Work Schedule Change" - Arkansas

Download PDF

Fill PDF online

Rate (4.8 / 5) 13 votes
Department of Transformation and Shared Services
Office of Personnel Management
Employee Planned Work Schedule Change
Employee Name (Last, First, Middle)
Effective Date
MM/DD/YYYY
Personnel Number
Business Area
Personnel Area
Permanent Change (IT0007):
Complete this Section if this is a PERMANENT work schedule change.
Work Schedule Requested
Rule
Example: MF 01 = Rule
5 days/8hrs. = Weekly Hours
M-F Work
Employment % of time worked
Time Management Status
Part-time Employee
Negative Reporting
Positive Reporting
No
Yes
%
(Time Sheet Required)
(Time Sheet Not Required)
Employee Working Week
(Specify)
Standard (Sunday- Saturday)
Other
Temporary Change (IT2003):
Complete this Section if this is a TEMPORARY work schedule change for exempt employees only.
Daily Work Schedule
Hours
OR
Work Schedule Rule:
Rule
Example: MF 01 = Rule
5 days/8hrs. = Weekly Hours
M-F Work Days
Justification
Employee Signature
Date
MM/DD/YY
AUTHORIZATION:
Approving Authority Signature
Date
MM/DD/YYYY
Approved
Denied
Approving Authority Signature
Date
MM/DD/YYYY
Approved
Denied
Employee Planned Work Schedule Change (Revised 05/28/2021)
Department of Transformation and Shared Services
Office of Personnel Management
Employee Planned Work Schedule Change
Employee Name (Last, First, Middle)
Effective Date
MM/DD/YYYY
Personnel Number
Business Area
Personnel Area
Permanent Change (IT0007):
Complete this Section if this is a PERMANENT work schedule change.
Work Schedule Requested
Rule
Example: MF 01 = Rule
5 days/8hrs. = Weekly Hours
M-F Work
Employment % of time worked
Time Management Status
Part-time Employee
Negative Reporting
Positive Reporting
No
Yes
%
(Time Sheet Required)
(Time Sheet Not Required)
Employee Working Week
(Specify)
Standard (Sunday- Saturday)
Other
Temporary Change (IT2003):
Complete this Section if this is a TEMPORARY work schedule change for exempt employees only.
Daily Work Schedule
Hours
OR
Work Schedule Rule:
Rule
Example: MF 01 = Rule
5 days/8hrs. = Weekly Hours
M-F Work Days
Justification
Employee Signature
Date
MM/DD/YY
AUTHORIZATION:
Approving Authority Signature
Date
MM/DD/YYYY
Approved
Denied
Approving Authority Signature
Date
MM/DD/YYYY
Approved
Denied
Employee Planned Work Schedule Change (Revised 05/28/2021)