Online supervisory reporting structure change form

*Please note, if you have a BECR,PCR or BES in progress, please wait until this is submitted and processed prior to requesting a supervisor change. These changes are made in Banner, and if you've provided the superivsor change on the form, it will update in Banner, and then in PEDS. Also, if a supervisor shares a position number with another individual, PEDS forms default to whichever supervisor held the position number first. If you have questions, please call Aimee Neu at 303-871-3307 before submitting the form.

Please provide the following information exactly as your would like to have it appear on Division supervisory reporting structure report. If you do not want an item included (for example, your email address) simply leave the field blank. If you have multiple changes for one supervisor, you can email Aimee Neu, aimee.neu@du.edu for processing, or fill out the forms below.

Division	Department

If Other Division, specify below:	If Other Department, specify below:

Employee Information

Name:	(*)
Position#:	(*)
Position Title:	(*)
DU ID#:	(*)

OLD Supervisor Information (leave blank if new hire or no previous supervisor)

OLD Supervisor's Position#:
OLD Supervisor's Name:
OLD Supervisor's Title
OLD Supervisor's DU ID#:

CURRENT / NEW Supervisor Information

(leave blank if employee is separating from an appointed position at the University)

Supervisor's Position#:
Supervisor's Name:
Supervisor's Title
Supervisor's DU ID#:

Effective Date of Reporting Structure Change

Date of Change:	(*)
Reason for Change:

Comments

Reported by

Your Name:	(*)
Your Email:	(*)
Your Phone #	(*)
Your Position Title	(*)
Your Division Title	(*)

Required items are noted with an (*).

You will receive an email confirming the changes you submit. Changes will show in the next Division supervisory reporting structure report (provided by Human Resources, or upon your request).