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HR Use Only: Original to Personnel File, Copy to Employee Date Entered in Initials:________ PERSONNEL ACTION FORM CITY OF LARAMIE Name of Employee Present Class Title Department/Division Position Control# . Authorization# . CHANGE OF STATUS Promotion from: To: Transfer from: To: . Demotion from: . Introductory Period: 6 months Dates: . 12 months Dates: . 18 months Dates: . N.A. Eligibility for Step Increase date: . Termination: Resignation Retirement Layoff Discharge Reclassification from: Fund/Dept/Division/Activity/Element/Object: _ EFFECTIVE DATE: SALARY/STEP INCREASE Grade/Step From: To: . Salary From: $ To: $ . Performance Appraisal Received on: EFFECTIVE DATE: . OTHER PERSONNEL ACTION Explanation . Department Human