HR Adjustment Form

Employee Name(Required)

Employee Email(Required)

Payroll Number (if known)

Current Parish / Department(Required)

Adjustment required(Required)

Reason for Adjustment(Required)

Type of Change(Required)

Permanent

Temporary

Start Date(Required)

End Date(Required)

Job Title(Required)

(if changing please upload a Job Description for the new role)

Job description

Drop files here or

Max. file size: 8 MB.

Parish/Department Name(Required)

(if applicable)

Please specify if the hourly rate is the same or new(Required)

Same

New

Annual equivalent £(Required)

Hourly equivalent £(Required)

Current Hours Worked

Please complete current start & finish time for each day of work.

Monday Start

Monday End

Monday Total Hours

Tuesday Start

Tuesday End

Tuesday Total Hours

Wednesday Start

Wednesday End

Wednesday Total Hours

Thursday Start

Thursday End

Thursday Total Hours

Friday Start

Friday End

Friday Total Hours

New Hours Worked