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Personnel Action Form

  1. Employee Information

  2. Employment Status

  3. Personnel Action Details

    Please Complete All Applicable Fields

  4. Adjust Hours Worked (Per Pay Period)

  5. Adjust Annual Salary or Hourly Wage

  6. Transfer (Change Job Title and/or Department)

  7. Approval Signatures

  8. Leave This Blank:

  9. This field is not part of the form submission.