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Home My WebLink AboutStatus Change, Bailey Kemp, Effective 3_26_2023 Action History (UTC-07:00)Mountain Time(US&Canada) Submit by Jennifer Church 4/3/2023 1:33:37 PM (Employee Change Request Submitted) Dept Head Approves by Craig Kingsbury 4/5/2023 9:19:41 AM (Current Dept Head Review) • The task was assigned to Craig Kingsbury.The priority is: Urgent 4/3/2023 1:33:44 PM HR Approves by Ida Clark 4/5/2023 4:51:46 PM (HR Manager Reviews Request) • The task was assigned to Ida Clark, Kristen Kohntopp, Gretchen Scott 4/5/2023 9:19:45 AM • Ida Clark assigned the task to Ida Clark 4/5/2023 4:51:09 PM TimeClock Plus Updated by Celene Nino 4/6/2023 1:41:17 PM(Payroll:TimeClock Plus-Temp Reassignment) • The task was assigned to zPayroll 4/5/2023 4:51:58 PM • Celene Nino assigned the task to Celene Nino 4/5/2023 4:55:27 PM Tw;N OF Employee Status Change Request Form 0 Status Change Select Department (Required) ....................... .................................................................................................................................................................................................... This form must be submitted before we can process any requests for a change in employee status, including supervisory changes in TimeClock Plus or Active Directory. Date Submitted* Submitted by* 04/03/2023 Jennifer Church What type of employee is this change for?*M Regular Full Time or Regular Part Time Employee If employee is staying in the same department, select employee's current department. If employee is moving to a new department, select the employee's new department. Department* Police Sub-department* Patrol Police and Fire Only: Check this box if this change is ONLY for Shift Assignment Changes Employee's Current Status Employee Name* Bailey Kemp Employee Number* 50003 Employee First Name Employee Last Name Bailey Kemp Current Department Current Sub-department Police Patrol Current Job Title Police Officer Current Labor GL Distribution Current Dept Head 101-21-12-410-11 Craig Kingsbury Current Supervisor Date of Hire Steven Gassert 12/21/2020 Current Exempt Status Non-Exempt Select Changes to Employee's Status (Required) Mark all boxes that apply. Which information would you like to update?* Employment Status(Introductory, Full Time, Part Time,Seasonal, Retirement,Termination, Military Deployment) Personnel Status(Transfer, Promotion, Demotion,Admin Leave, Reinstatement) Department Job Title A Change in Hourly Rate/Salary(Demotion, Promotion, Pay Increase) A Change in Other Compensation(Assignment,Certification,Clothing, Extra Duty,Specialty,Out of Class) Shift Assignment(Fire) Patrol Assignment(Police) Work Schedule(9/80,4/10, 5/8,etc.) New Supervisor(for this employee) New/Update Supervisory Access this Employee has to other Employees(Includes Mass Shift Changes) City Phone Number(s) Access to Finance Software, City Credit Card, Fuel PIN Is this a temporary reassignment for light duty and/or staff coverage? Yes No If an employee is temporarily reassigned, we will update their TimeClock Plus profile as needed, but will not make any changes to their profile in Active Directory, and will not change how they are paid or expensed in Springbrook. Schedule New Work Schedule ..................................................................................................................................................................................................................................................................................................................................................................................................... Current Work Schedule* Police=84 hours in two weeks, 10.5 hr days New Work Schedule* 5/8=40 hours per week Holiday Compensation Hours per Holiday* 8 Holiday Compensation: Pay Monetary Compensation(Added to employee's paycheck) Supervision New Supervisor ................................................................................................................................................................................................................................................................................................................................................................................................... New Supervisor New Supervisor* Employee ID Job Title of New Supervisor Kevin Loosli 54300 Sergeant Each employee should have a backup supervisor assigned in TimeClock Plus. The backup supervisor can approve time if the primary supervisor is absent. The "Not Applicable" choice is optional for Police (Sworn)and Fire Operations only, as their supervisors have universal access. TimeClock Plus: Backup Supervisor/ Email Notifications Should this supervisor receive email notifications of leave requests?* Supervisor Name* Yes Not Applicable No Effective Date / Additional Information Effective Date .................................................................................................................................................................................................................................................................................................................................................................................................. Effective Date of Payroll Change* 03/26/2023 Changes may only be effective at the beginning of a pay period Select the first date of the time card for which the change is effective. Additional Documentation ................................................................................................................................................................................................................................................................................................................................................................................................. Additional Documentation Examples:Promotion letter,transfer letter,copies of certification Submitter Comments Submitter Comments Comments may be visible to Human Resources,supervisors in your department,and the employee Per signed memo from Chief Kingsbury and HR, Officer Kemp will be starting her light duty work assignment on Thursday, April 6 with Sergeant Loosli as her supervisor. Sergeant Loosli will be responsible for approving her Time Clock Plus entries as well. Review Dept Head Comments Comments by Craig Kingsbury Dept Head Comments Dept Head:You can send this back to the submitter,or to another supervisor in your department.Would you like to do that? Yes No Supervisor Comments Will only be filled out if Dept Head sent to another Supervisor for input Comments by Supervisor Comments City Manager Comments Comments by City Manager Comments HR Director Comments Comments by Ida Clark HR Director Comments HR Director needs more information Yes No Payroll Comments Payroll Comments (Springbrook tasks) Comments by Payroll Comments File Upload Optional upload(s),such as Excel worksheets or other correspondence Payroll Comments (TimeClock Plus) Comments by Celene Nino Payroll Comments