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Check one: New hire Re-hired Part-Time help Temporary/Seasonal Promotion Demotion Transfer Merit increase Wage adjustment Pay increase for certification Salaried employee Hourly employee Probation completed (new employee) Probation completed (promotion) Probation completed (demotion) Probation completed (transfer) Permanent employee Voluntary separation Discharge Retirement Layoff Other Greene County Change of Personnel Status and/or Pay TO: FROM: DATE: EMPLOYEE: DEPARTMENT: DEPARTMENT HEAD: EFFECTIVE DEPARTMENT: DIVISION: PRESENT POSITION: PROBATIONARY: WAGE STATUS: REMARKS: AUTHORIZING SIGNATURE: EMPLOYEE SIGNATURE (optional):