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    A Personell Action Request

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    Cameron Clark
    This personnel action request form documents an employee separation. It provides information about the employee including their name, social security number, employee ID, address, and position of sanitation worker. The type of action is listed as a voluntary separation. The last day worked was January 19th, 2022 and the separation date is February 14th, 2022. The reason given is that the employee was a no call no show on January 20th and 21st and has already received their final paycheck. The form requires signatures from the site manager, senior vice president of operations, human resources, and payroll to approve the separation.

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    A Personell Action Request

    Uploaded by

    Cameron Clark
    4 views1 page
    This personnel action request form documents an employee separation. It provides information about the employee including their name, social security number, employee ID, address, and position of sanitation worker. The type of action is listed as a voluntary separation. The last day worked was January 19th, 2022 and the separation date is February 14th, 2022. The reason given is that the employee was a no call no show on January 20th and 21st and has already received their final paycheck. The form requires signatures from the site manager, senior vice president of operations, human resources, and payroll to approve the separation.

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    This personnel action request form documents an employee separation. It provides information about the employee including their name, social security number, employee ID, address, and position of sanitation worker. The type of action is listed as a voluntary separation. The last day worked was January 19th, 2022 and the separation date is February 14th, 2022. The reason given is that the employee was a no call no show on January 20th and 21st and has already received their final paycheck. The form requires signatures from the site manager, senior vice president of operations, human resources, and payroll to approve the separation.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    4 views1 page

    A Personell Action Request

    Uploaded by

    Cameron Clark
    This personnel action request form documents an employee separation. It provides information about the employee including their name, social security number, employee ID, address, and position of sanitation worker. The type of action is listed as a voluntary separation. The last day worked was January 19th, 2022 and the separation date is February 14th, 2022. The reason given is that the employee was a no call no show on January 20th and 21st and has already received their final paycheck. The form requires signatures from the site manager, senior vice president of operations, human resources, and payroll to approve the separation.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    PERSONNEL ACTION REQUEST

    EMPLOYEE INFORMATION
    Name: SS#: 2/14/2022

    Employee ID #: Location:
    Safeway Spokane

    Address:

    TYPE OF ACTION REQUESTED

    New Employee Rehire Transfer Promotion Pay rate change

    X Separation (Voluntary) Separation (Involuntary) Address Change LOA

    POSITION INFORMATION

    Freight Handler Leadman Team Leader Business Leader x Other: Santitaion

    PAY RATE INFORMAION

    Commission % x Hourly $ Salary $ per Week

    W-4 :

    SEPERATION INFORMATION

    Last Day Worked: 1/19/2022 Separation Date: 2/14/2022


    Reason: All Involuntary Termination requires supporting documentation. Both Voluntary and Involuntary Separations must have
    recent address and directions where to send final check, to business site or employee’s recent address.
    Fill out recent address above in current address location, list instructions for final check in this location adjacent to reason for separation.
    NCNS ON 1-20-22 and 1-21-22 Already received final paycaheck

    SIGNATURE APPROVAL
    Site Manager/Supervisor SR. VP of Operations

    Human Resources Payroll

    TWS Inc. 03/05/12

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