Associate Transfer Form Part I: Associate Information Name: Hire Date: ID Number: Phone Number: Email Address: Address: Part II: Action Requested Transfer Promotion Part III: Position / Assignment Information Current Assignment Proposed Assignment Supervisor: Supervisor: Department/Location: Department/Location: Position: Position: Associate Status: Time Rate of Pay: $ Full-Time Part- Insurance %: Associate Status: Time Full-Time Rate of Pay: $ Part- Insurance %: Part IV: Associate Signature _______________________________________ Printed Name _____________________________________ _ Signature ___ / ___ / _____ Date Part V: Approval/Denial (MANAGER USE ONLY) Approved (Date of Transfer / Promotion: ______) Declined (Reason: ______________________) Part VI: Signatures / Approvals (MANAGER USE ONLY) Sending Receiving ___________________________________________ CAM/Manager Signature & Date __________________________________________ CAM/Manager Signature & Date __________________________________________ Second Level Signature & Date __________________________________________ Second Level Signature & Date _________________________________________ __________________________________________ Associate Transfer Form HR Signature & Date HR Signature & Date Steps for Approval of a Transfer 1. Associate initiates the transfer by completing Parts I, II, III and IV of the form, 2. The associate then gives the form to their Supervisor/Manager for approval. If the Supervisor/Manager approves then the form is given to a second level Manager and to a third level manager. All signatures are in Part VI. 3. If the transfer is declined then the manager must indicate the reason in Part V. 4. The approved or denied transfer form is then sent to the HR leader. 5. HR will verify the information in Part III Current Assignment and will confirm if the associate is eligible for transfer. The HR leader will advise the associate if the transfer was approved or declined. 6. The sending HR leader will forward the form to the receiving HR leader for processing. 7. The receiving HR leader will contact the receiving manager to verify the information in Part III Proposed Assignment and will let the manager know if the transfer was approved. 8. If the transfer was approved, the HR leader will forward the form to the receiving manager for signature in Part VI. 9. The receiving manager will then return the signed form to their HR leader. 10. The sending manager will be advised by their HR leader to initiate the transfer in ADP to the receiving manager. 11. The sending HR leader will forward all associate information to the receiving HR leader.