Personnel Action Form (PAF)

Personnel Action Form

Bryant Group Inc.
Name of Employee*

First NameMiddle NameLast Name
Employee ID Number
Employee Phone Number

Area CodePhone Number
Effective Date of Action

MonthDayYear
First Day Worked

MonthDayYear
Last Day Worked

MonthDayYear
Date Submitted

MonthDayYear
Action Requested
Eligible for Rehire

YesNo
Who will pick up employee work load:
Current Work Location
New Work Location
Current Department
New Department
EEO Code
Current Position Code
New Position Code
Current Rate of Pay
New Rate of Pay
Date of Last Rate Increase

MonthDayYear
Amount of Last Rate Increase
Last Review Date

MonthDayYear
Current Superintendent
New Superintendent
Employee Status (Check one for each item below)
Location

Field/Shop/WHOffice
Overtime

Subject to OvertimeExempt
Work Hours

Full TimePart Time
Employment Type

RegularTemporary
Additional Information / Explanation:
Email Address of Superintendent or Manager Submitting PAF*
Signature of Superintendent or Manager
Select Production Manager for Approval
Email of Production Mgr
example@example.com
Only to be Completed by Production Mgr.

P.M. must enter Approval Date and PIN, then hit the Submit Button. Request for approval will be sent to the Senior Manager.
Production Mgr Approval Date

MonthDayYear
Date
Production Mgr Approval PIN
Select Senior Manager for Approval
Email of Senior Mgr
example@example.com
Only to be Completed by Senior Manager

Sr. Mgr must enter Approval Date and PIN, then hit the Submit Button. Approval will then be sent to the HR Department.
Senior Mgr Approval Date

MonthDayYear
Date
Senior Mgr Approval PIN
HR Dept Email
example@example.com
Should be Empty:

Personnel Action Form

Employee Status (Check one for each item below)

Only to be Completed by Production Mgr.

Only to be Completed by Senior Manager