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Small Payroll Status Change Form - 3-Part

Clearly Communicate and Record Compensation Changes


Clearly document pay changes with the Small Payroll Status Change Form - 3-Part. Having hard copies of any changes eliminates any uncertainty and offers solid documentation in the event a legal dispute.

Updated to include a new payroll/status change reason "FLSA Reclassification".
SKU: A2173
  • *
$81.95
decrease increase
  • Provides written record of how pay is changing and why
  • Provides two extra copies for employee and for recordkeeping
  • Includes ComplyRight™ tips for optimal, compliant use

Product Specifications:

  • Size: 5.5” x 8.5”
  • Price per pkg/50
  • Provides written record of how pay is changing and why
  • Provides two extra copies for employee and for recordkeeping
  • Includes ComplyRight™ tips for optimal, compliant use

Product Specifications:

  • Size: 5.5” x 8.5”
  • Price per pkg/50
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