RANDALL COUNTY EMPLOYMENT CHANGE REQUEST
Promotion/Transfer (Inter-Office or Inter-Departmental)
Employee Name
*
Department
*
Please Select
Auditor
Building Maintenance
County Clerk
County Court at Law #1
County Court at Law #2
County Judge
District Attorney
District Clerk
Domestic Relations
Elections
Extension
Fire Department
HR/Payroll
Information Technology
Judicial Enforcement
Justice of the Peace #1
Justice of the Peace #4
Juvenile Probation
Maintenance
Mental Health
Purchasing
Road and Bridge
Sheriffs Department
Tax Assessor/Collector
Treasurer
Youth Center of the High Plains
SO Department
Please Select
010-621 - Main
010-623 - Jail
010-624 - Medical
010-625 - Mechanic
010-626 - Net
010-627 - IT
031-600 - Courthouse Security
Effective Date
*
/
Month
/
Day
Year
Date
Pay Date
*
/
Month
/
Day
Year
Date
Old Position
*
New Position
*
Replacement For
*
*
Full Time
Part-Time
Exempt
Annual Salary
*
From Range/
%
BiWeekly Salary
To Range/
*
%
*
BiWeekly Salary
Fund
*
Dept #
*
Car Allowance
Uniform Allowance
Please Select
Not applicable
$50.00 per month
$75.00 per month
Phone Allowance
Please Select
Not applicable
$25.00 per month
$35.00 per month
(Please provide Court approval documentation)
Kronos Time off Approvers:
1
2
Kronos Time Sheet Approvers
1
2
3
Comments
Department Head E-mail Address
*
example@example.com
Completed by Email
*
example@example.com
Completed By Signature
Date
/
Month
/
Day
Year
Date
Department Head Approval Signature
Date
/
Month
/
Day
Year
Date
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