PERSONNEL ACTION FORM: VERY IMPORTANT

P ERSONNEL A CTION F ORM :

EMPLOYEE INFORMATION:

First Name *

Last Name *

Start Date

Date

Term Date

Date

What Kind of Employee? *

Contract Worker Permanent Staff Temporary Worker

Job Title

Is this a "Secondment"?

Yes No

Is this an internal transfer? *

Yes No

If internal transfer , please indicate new Supervisor

Bldg Location *

LSM SSM Other (Vaccines or other GSK Site) _________________

Current Department *

Cost Center *

To New Department

Cost Center

Working Team (for Training Curricula Assignment):

Individual now responsible for direct reports (if applicable)

HIRING MANAGER : Submit employee information into WORKDAY and to ORDER COMPUTERS/PHONES click the following link: GSK Service Catalog .

IMPORTANT!!!! Are you converting Contingent Workers to New Hires??

To ensure that your new hire does not lose access to computer accounts, if you have not already done so, please ensure that a MoveIT Request has been submitted through the Services Catalog (Search for MoveIT and Complete and Submit Request). Contact IT Help Desk if you need assistance submitting the request. http://servicescatalog.gsk.com/#@loadWidget:newrequest|tab|process_id=21888

If Contingent Worker is currently in Fieldglass, please be sure to end the contract in Fieldglass effective one day prior to start date. Also, please make sure you approve the CWs last time card.

If your New Hire loses access to computer accounts after being hired as an employee, please ensure that a Re-enable Core Accounts Request is submitted asap through the Services Catalog (Search for Re-enable Core Accounts and Complete and Submit Request). Contact IT Help Desk if you need assistance submitting the request. Note: re-enabling accounts can take up to 24 hrs.

http://servicescatalog.gsk.com/#@loadWidget:newrequest|tab|process_id=21888

Once you’ve completed Workday and Services Catalog information above, please follow these steps: 1. Send meeting invite to Melissa Horn so she can process your new hire’s I9 information. 2. Submit new hire information to Passage Point Visitor Registration so Security knows to expect them 3. Contact Jack Hack, Luis Meijia, and Brian Dayett to confirm they are coordinating seating (see link to form below), computer and phone. 4. Check the Rockville HR website for information on Cross-training, Leavers, Internal Transfer checklists, etc. (They have been removed from this site, as they are redundant)

Does employee have/need SHARED FILE "rights" in Account Resource Mgmt Software? *

Yes No

If YES, above, indicate which shared files need to be added or removed (as well as who "owns" file)

To REQUEST and CONFIRM Office/Seat Assignment, please fill out WORKSPACE ASSIGNMENT REQUEST FORM: http://www.jotform.us/form/51666271066154

IT/Computer Needs :

Desktop Laptop N/A

Soft Phone

Yes No N/A

Phone Ext. (confirmed by IT):

Employee"s E-mail

MUD ID

Cell #

MANAGER : Please select items below your EMPLOYEE REQUIRES - NOTE - Forms for Badge Access and Key Requests are linked (fill out and forward to Security): *

	Add	Remove	N/A
Access Badge
KRONOS Badge
Printer FOB
Key Requests
Business Cards
Cell Phone
Safety Shoes
Safety Eye wear
Lab Coat w/Name badge
Seat/Office Assignment (see link above for WORKSPACE Assignment form)
Name Plate/Office
Mailbox
GMP Portal (email dist. lists)*
*If transferring, please REMOVE from old and ADD to new Dept.
Staff Directory (on website)
Site Director NEW HIRE WELCOME Meeting (w/Code of Conduct Training)
Management Essentials Training
First Line Leader Training
Leading Delivery Training
SEND MEETING INVITE TO SECURITY to submit I-9 Documents

* * NEW LEAVER SECURITY/CHECK LIST PROCESS * *

In order to better account for Leavers, we have developed a simple process to ensure that we can more accurately retrieve their issued GSK property and terminate them in our access control system. When you learn of an employee termination date, we ask that you send Scott Houston and me a meeting invite for the conclusion of their last day. We will meet the affected person and ensure all of their property gets to the proper location. Undoubtedly, in some cases personnel may be leaving on short notice or at an unusual time. If that is the case, please complete the attached form which can be found on the Rockville GMS HR site page. You may then elect to turn over their returned items and the form to us on the following day or to the “on duty” security officer.

Manager Leaver Checklist (link to checklist)

Items to be collected:

GSK Site Access Badge
GSK Kronos Badge
GSK Printer Fob
GSK Corporate AMEX Card
GKS P-Card
GSK Keys (building, files, etc.)
GKS Laptop
GSK Cell Phone ( employee must present phone password, iCloud logon and iCloud password )

Mgr/Sup Email *

NOTE: You will receive a copy of the form via email when you click SUBMIT below.

Job Title