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Form
Name:
PAYROLL
ADJUSTMENT
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Used
for:
Requesting
adjustments to an employee's normal pay, in the form of:
1.Reduction for overpayment.
2.Additional payment (current pay period).
3.Retroactive adjustment (prior pay periods).
Required Fields:
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Social Security number and name: |
Format
last, mi, first |
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Pay Cycle: |
Enter M1 (Monthly); S1 (Semi-Monthly); W1 (Weekly); or
S2 (Student) |
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Pay Per Ending: |
End
date of the next pay period in which the employee is paid.
Please note deadlines for submission. |
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Reduction in Pay (Overpayment) |
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Earn Type: |
Identify earnings code to be reduced - see HRMS Users
Guide for proper codes Show all that apply. |
| Hours: |
Indicate
hours to the second decimal point (i.e. one and one half
hour is 1.50). Applies to all payrolls, for monthly employees
use 1.00 in this field and show gross amount in hourly
rate field. |
| Hourly
Rate: |
Show
dollar rate to third decimal. Applies to all payrolls.
See above for monthly employees. |
| Job
Class: |
Classification
code per Personnel Action Form. |
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Account Number: |
6-digit
FRS account, 4-digit subcode. |
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Additional Payment |
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Pay End Date: |
Date of current or future (vacation advance) pay period.
Normally same as Pay Period Ending field. |
| Earn
Type: |
Identify
earnings code to be affected - see HRMS Users Guide for
proper codes. |
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Hours: |
See
description under "Reduction in Pay". |
| Sep/Vol/Ded: |
Leave blank, Payroll will complete. Indicate under "Reasons"
if separate check is requested. |
| Rate
of Pay: |
Hourly
rate or gross amount, if monthly. |
| Job
Class: |
Classification
code per Personnel Action. |
| Account
Number: |
6-digit
FRS account, 4-digit subcode. Adjustment must be split
if more than one account is charged. |
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Retroactive Adjustment |
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Account Number: |
6-digit FRS account, 4-digit subcode. Adjustment must
be split if more than one account is charged. |
| Job
Class: |
Classification
code per Personnel Action. |
| Earn
Type: |
Identify
earnings code to be affected - see HRMS Users Guide for
proper codes. |
| Gross
Amount: |
Total
amount due from retroactive adjustment. |
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Hours: |
Indicate
hours to the second decimal point. |
| Pay
End Date: |
Prior
period date(s) to which adjustment applies. |
| Adj.: |
Leave
blank - system adjusts per earn type. |
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Reasons: |
Provide
a detailed explanation for the adjustment. |
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Signatures: |
Indicate department name and obtain authorized department
and University signatures. |
Documents to Attach:
None
Required.
Where to Send:
Forward
as indicated on the form. Payroll will route to the Office
of Research Administration and Wage and Salary, if necessary.
How to Obtain:
Form
is multi-part and stocked in University Stores, number 60441.
Use Stock Issue Slip form to order.
download
available
Special Notes:
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