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Priority Number

Payroll Status Change Form

A2172

Easily document salary or status changes

Record changes to employees' payroll status correctly with the Payroll/Status Change Notice. The Payroll/Status Change Notice also documents payroll changes as well as other updates such as resignations, transfers, insurance eligibility and more.

Updated to include a new payroll/status change reason "FLSA Reclassification".

Product Specifications:

  • Size: 8.5" x 11"
  • 50 sheets per package
  • New packaging features ComplyRight™ tips for optimal compliant use

Old item #A0519