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Fill-and-Save™ Payroll/Status Change Notice

Easily Document Salary or Status Changes


Record changes to employees' payroll status correctly with the Fill-and-Save™ 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. Includes “FLSA Reclassification” as payroll/status change reason.


Fill-and-Save™ technology allows you to fill out the form electronically (and email to your employees if necessary). Completed forms can be stored electronically as PDFs or printed out for paper recordkeeping. See more details...

SKU: A2172CFL
Free shipping
$28.95
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This form will be delivered as a downloadable file. A link will be provided in your Order Confirmation email after checkout.

The Fill-and-Save™ Payroll/Status Change Notice:

  • Is attorney-developed and compliant with the latest regulations
  • Comes with a Tip Sheet covering compliance guidelines and recommended best practices from our expert HR and legal teams
  • Is delivered as a downloadable PDF (provided in an email after checkout) that allows you to type directly into the open fields and save the file.

The Fill-and-Save™ Payroll/Status Change Notice:

  • Is attorney-developed and compliant with the latest regulations
  • Comes with a Tip Sheet covering compliance guidelines and recommended best practices from our expert HR and legal teams
  • Is delivered as a downloadable PDF (provided in an email after checkout) that allows you to type directly into the open fields and save the file.

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