Organizational Change Form

This form should be completed:

  • By the supervisor/manager requesting the organizational change;
  • For employees in the area who have been affected by reorganization.

Submit this form and any appropriate documents to the Office of Human Resources at least two weeks prior to the effective date of change.  HR will distribute the form for electronic approvals.

Submission of this form to HR assumes that the supervisor/manager and the Cabinet VP have agreed to the changes.

  • Employee / Department Information

  • Nature of the Change

  • Where a department or individual moves to (location / building & room #)
  • Supporting Documentation

  • Comments

  • Requester