CITY OF HAMMOND
310 E. Charles Street * P. O. Box 2788 * Hammond, LA 70404
EMPLOYEE CHANGE/TRANSFER FORM
Employee Name:
Employee No.
Social Security #
Hire Date:
Current Department:
New Department:
Current Job Title:
____________
New Job Title:
Current Position No:
New Position No.:
Current Cost Center:
New Cost Center:
______
__
Current Pay Grade:
New Pay Grade:
______
______
Current Step:
______
New Step:
Reason for Change/Transfer:
Previous Employee: Salary
_____
______
Pay Grade
______
Years of Service:
Department Heads Signature
Date
PLEASE FORWARD TO HUMAN RESOURCES DEPT. FOR REVIEW
Current Salary:
New Salary:
Effective Date:
Retroactive Yes/No:
Approvals:
______
Human Resources Director
Date Signed
Director of Administration
Date Signed
Mayor
Date Signed