Personnel Action Form

**TO BE COMPLETED BY MANAGER** 

Use this form for all New Team Member/ Current Team Member Changes

Please Note:

– The payroll cycle runs from Monday – Sunday.
– The effective date of this PAF will be the upcoming Monday.
– Pending management’s approval, the PAF change/update/increase will be paid out the following week.
– Approval line chain: Site Manager submits, Regional Manager approves, VP is final approval.

Action Type

Team Member Information

Team Member Name
Gender
Was team member using a company or personal phone?

Position Information

Company Driving Privileges
Manager Name
FLSA Status
Team Member Type
Separation Reason
Eligible for Rehire?