Mass Supervisor / TIM Approver Update Request Form
(* This form can only be used for updates involving 10 or more changes for the same Supervisor and/or TIM Approver)

☐Supervisor update	Effective Date of Supervisor Change: _______________

☐TIM Approver update Effective Date of TIM Approver Change: _______________

The effective date of a Supervisor change should be the actual date of the occurrence. All TIM Approver changes must have a current effective date. Future dated transactions will be held until the effective date. Supervisor Update:

Current Supervisor PID	Current Supervisor Name	Current Supervisor Position Nbr	New Supervisor PID	New Supervisor Name	New Supervisor Position Nbr

TIM Approver Update:

Current TIM Approver PID	Current TIM Approver Name	New TIM Approver PID	New TIM Approver Name

Mark only one Check Box below.

☐Apply update to all employees reporting to the current Supervisor or current TIM Approver.

☐Apply updates only to the employees listed below? (See List below or attach spreadsheet)

Employee PID	Empl Recd #	Name	Position

Dept Number: ________________ Depart Name: ______________________________________________

Prepared by: ________________________________ Phone Number: _______________

HR Approver (Printed): _________________________________

HR Approver (Signature): _________________________________ Date: ________________

(Required: Signature from Any School/Division HR Level 2 Approver.)