Role Change Request Form

Employee Name*

Email Address*

Current Role / Title*

Proposed New Role / Title*

Department*

Justification for Role Change*

Proposed Effective Date*

Requesting Manager*

What is this form?

A role change request form for employees or managers to formally request a change in job title, responsibilities, or reporting structure.

HR departments, managers, and employees initiating role changes, promotions, or restructuring.