Employee Internal Transfer

This form is for F&A use only.

Employee Information

Name:

UW NetID:

Transferring FROM Information

Unit Transferring From:

Last Day:

Former Supervisor:

Former Supervisor Email:

Transferring TO Information

Unit Transferring To:

Title:

Phone:

Fax:

Supervisor Name:

Supervisor Email:

Location:

Appointment Type:

Start Date:

End Date, if Applicable:

Is this a new position?
 Yes No

Replaced Employee Name, if applicable:

Fundraiser:

Manager/Director:

FTE:

Additional Information:

Submitted by:

Name

Email: