"Work Schedule Change Sheet"

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WORK SCHEDULE CHANGE SHEET
EMPLOYEE NAME__________________________________PERS. NO.________________
(Please print.)
DEPARTMENT _______________________________________________________________
CURRENT SCHEDULE
37.5 Hour/Week Schedule
40 Hour/Week Schedule
(Please check.)
Days of Work______________________________________________________
(Example: Monday through Friday)
Start Time: __________ a.m. / p.m. End Time: __________ a.m. /p.m.
(Please circle.)
(Please circle.)
Lunch Period: ___________________________________ paid / unpaid
(Example: 12:00 p.m. to 1:00 p.m.)
(Please circle.)
NEW SCHEDULE
Effective Date of Change
___________________________________________________
SATURDAY
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Date
Date
Date
Date
Date
Date
Date
From
To
From
To
From
To
From
To
From
To
From
To
From
To
Actual Daily
Shift
Worked
37.5 Hour/Week Schedule
40 Hour/Week Schedule
(Please check.)
Days of Work
______________________________________________________________
(Example: Monday through Friday)
Start Time: __________ a.m. / p.m. End Time: __________ a.m. / p.m.
(Please circle.)
(Please circle.)
Lunch Period: ___________________________________ paid / unpaid
(Example: 12:00 p.m. to 1:00 p.m.)
(Please circle.)
EMPLOYEE ________________________________________ DATE__________________
SUPVR./DEPT. CHAIR_______________________________
DATE__________________
MANAGER_________________________________________
DATE__________________
DIRECTOR/DEAN __________________________________
DATE__________________
HR DIRECTOR _____________________________________
DATE__________________
---------------------------------------------------------------------------------------------------------------------
For Payroll Office Use Only:
SAP CHANGE DATE____________________
4/4/05
WORK SCHEDULE CHANGE SHEET
EMPLOYEE NAME__________________________________PERS. NO.________________
(Please print.)
DEPARTMENT _______________________________________________________________
CURRENT SCHEDULE
37.5 Hour/Week Schedule
40 Hour/Week Schedule
(Please check.)
Days of Work______________________________________________________
(Example: Monday through Friday)
Start Time: __________ a.m. / p.m. End Time: __________ a.m. /p.m.
(Please circle.)
(Please circle.)
Lunch Period: ___________________________________ paid / unpaid
(Example: 12:00 p.m. to 1:00 p.m.)
(Please circle.)
NEW SCHEDULE
Effective Date of Change
___________________________________________________
SATURDAY
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Date
Date
Date
Date
Date
Date
Date
From
To
From
To
From
To
From
To
From
To
From
To
From
To
Actual Daily
Shift
Worked
37.5 Hour/Week Schedule
40 Hour/Week Schedule
(Please check.)
Days of Work
______________________________________________________________
(Example: Monday through Friday)
Start Time: __________ a.m. / p.m. End Time: __________ a.m. / p.m.
(Please circle.)
(Please circle.)
Lunch Period: ___________________________________ paid / unpaid
(Example: 12:00 p.m. to 1:00 p.m.)
(Please circle.)
EMPLOYEE ________________________________________ DATE__________________
SUPVR./DEPT. CHAIR_______________________________
DATE__________________
MANAGER_________________________________________
DATE__________________
DIRECTOR/DEAN __________________________________
DATE__________________
HR DIRECTOR _____________________________________
DATE__________________
---------------------------------------------------------------------------------------------------------------------
For Payroll Office Use Only:
SAP CHANGE DATE____________________
4/4/05