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Date Submitted Appendix I?1A LUZERNE COUNTY EMPLOYEE CHANGE OF STATUS FORM HUMAN RESOURCES INFORMATION ? New Employee ? Existing Employee Name Employee Number Effective Date Job Title Department (Complete
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How to fill out Luzerne County Employee Change:

01
Begin by obtaining the Luzerne County Employee Change form. This form can typically be found on the Luzerne County government website or by contacting the relevant department.
02
Carefully read the instructions provided on the form. It's important to familiarize yourself with the requirements and any specific documentation that may be needed.
03
Start filling out the basic information section of the form, including your full name, employee ID number, department, and contact details.
04
Proceed to the section where you need to indicate the type of change you are making. This could include changes in address, contact information, marital status, dependents, or any other relevant details.
05
Provide accurate and up-to-date information for each change you are making. It's important to be thorough and ensure all fields are properly completed.
06
If required, provide supporting documents or evidence for the changes you are making. This could include marriage certificates, divorce decrees, birth certificates, or any other documentation as specified.
07
Review the completed form to ensure all information is correct and accurate. Double-check for any errors or omissions.
08
Sign and date the form as required.
09
Submit the completed Luzerne County Employee Change form as per the instructions provided on the form. This may involve submitting it electronically, mailing it, or delivering it in person.
10
Retain a copy of the completed form for your records.

Who needs Luzerne County Employee Change?

01
Luzerne County employees who need to update their personal and employment information.
02
Individuals who have experienced changes in their address, contact details, marital status, or dependent information that affects their employment records with Luzerne County.
03
Employees who want to ensure that their personal information is accurately reflected in Luzerne County's records.
Note: It's always advisable to refer to the official Luzerne County guidelines and instructions for specific details regarding the Luzerne County Employee Change process.
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The Luzerne County employee change form is used to report any changes in employment status of Luzerne County employees.
All Luzerne County employees and their supervisors are required to file the Luzerne County employee change form when there are any changes in employment status.
To fill out the Luzerne County employee change form, you must provide details about the employee's name, employee ID, effective date of change, reason for change, and any other relevant information.
The purpose of the Luzerne County employee change form is to keep accurate records of any changes in the employment status of Luzerne County employees.
The Luzerne County employee change form must include details such as employee name, employee ID, effective date of change, reason for change, and any other relevant information.
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