Submit a request – Claims Solutions HR Support

Your email address

Subject

Description

Please enter the details of your request. A member of our support staff will respond as soon as possible.

Company:

Please select Company name for request

Is there an open Indeed Posting for this hire?

Approved RTR #

Please provide the Approved RTR # for this hire

May we move forward with closing Indeed Posting for this hire?

Position Title

New Starter Name

Starting Salary

Start Date:

Please note IT confirmed all new starter must have at least 10 days notice from start date for set up/equipment, even if the new starter already has equipment.

Fully Remote or In-Office/Hybrid?

If the new starter is fully remote, please list the office the new starter will report to.

Manager Name

Please list reporting manager name - used to approve Time-Off requests, timecards (if applicable)

Home Address: used for shipping equipment

Please provide home address, this will be used for shipping equipment

New Starter Personal Contact number

New Starter Personal Email Address

New Starter profile to be mirrored after listed name below of existing employee for permission purposes

Used for Avaya Phone/outlook permissions

Please list last working day for employee

This can be a different date than termination effective date

Please list last working day for employee

This can be a different date than last working day for employee

Termination Reason:

Please note "Personal" reasons for resigning would be something along the lines of deciding to stay home to care for family or just leaving the workforce. (Please specify to the best of your ability)

Additional Comments (optional)

ADP Request Type:

Employee Name:

Please describe concern

Effective Date

HR Policies

Please Select HR Policies Needed

Attachments(optional)

Add file or drop files here