Pay Change Request – Flat Rate Hourly Pay Change Request Form - Flat Rate Hourly Employee Manager Making Request: First Last Request Date: MM slash DD slash YYYY Employee Name First Last Location:*SelectAlabasterCaleraCullmanHooverMuscle ShoalsFlorenceFlorence Corporate OfficePrattvilleTuscumbiaDepartment:*Job Role/Title:*Current FRH - Customer Pay Rate*Current FRH - Warranty Pay Rate*Pay Change Effective Date: (Should be a future date; Must be a Monday) MM slash DD slash YYYY New FRH - Customer Pay Rate*New FRH - Warranty Pay Rate:*Guarantee: (Explain in Detail; If None, enter "None) Guarantee Expiration Date: (If Weekly Guarantee, Must be a Saturday; If Monthly Guarantee, Must be Last Day of Month) MM slash DD slash YYYY Notes: (Anything else we need to know to create the pay plan?)CAPTCHA Δ
