Electronic PCN

PCN
Please complete all applicable elements for your transaction. Once submitted, the request will be routed to the appropriate parties for approval or denial.
Submitter Information
Date

MonthDayYear
Date
Your Name

First NameLast Name
Your Email*
example@example.com
Your Managers Email*
used to ensure PCN gets sent to them for approval.
Change Reason*

Annual Merit IncreaseDemotionNew Hire- HR OnlyOffer Letter- HR OnlyOther Wage ChangePromotionRetirementTerminationTransfer (department, supervisor or shift)Voluntary ResignationOther
Team Member Current Information
Location*

PhiladelphiaOshkoshYuba CityGermany
KSEA?

YesNo
Name*

First NameLast Name
Employee Number
Hire Date

MonthDayYear
Date
Job Title
Department
Supervisor
Shift

FirstSecondThird
Hours of Vacation
Full time team members only
Vacation Effective Date

MonthDayYear
Date
Hours of Personal
Full time team members only
PTO Effective Date

MonthDayYear
Date
Hours of Sick Time
Full time team members only
Sick Time Effective Date

MonthDayYear
Date
Team Member Changes-Fill in any applicable fields

Fields that are not changing may be left blank
Effective Date for Changes*

MonthDayYear
For terminations, retirements, resignations etc. this date should be their last day of employment. For new hires, this date should be their first day of employment.
New Job Title
New Supervisor
New Supervisor Email
Will allow a notification to be sent to them once the transaction has been approved.
New Department
New Shift

FirstSecondThird
New Employment Status

Full TimePart Time
Hourly or Salaried?

HourlySalaried
Current Hourly Wage
Proposed Hourly Wage
Current Wage
Proposed Wage
Percent Increase (auto calculates)
Annual Rate to Hourly Rate Calculator

Use this to determine what the hourly rate for salaried roles is. Enter corresponding rates into "current" and "proposed" wage fields above.
Current Annual Wage
Current Hourly Rate Conversion
Insert in "Current Hourly Wage" field
New Annual Wage
New Hourly Rate Conversion
Insert in "Proposed Hourly Wage" field
Supporting Documents

Use this to upload any materials that support promotion requests, demotions, etc. Talent- use this section to upload the job description and offer letter.
Cancelof
Notes / Comments
Please use this section to provide a brief reasoning for promotions, transfers, resignations, increases over 5% or other notes. A copy of this PCN will be emailed to you and any notes you make will be visible for future reference.
Should be Empty:

PCN

Submitter Information

Team Member Current Information

Team Member Changes-Fill in any applicable fields

Annual Rate to Hourly Rate Calculator