|
Initiating Department: |
Name
of department creating the transfer. |
|
Social Security Number: |
Employee SS number. Reallocation cannot be processed without
this number. |
| Employee
Name: |
Format
last name, first name, middle initial. |
| Salary/Benefit
Debit: |
Six-digit
FRS account, four-digit subcode for the account to be
charged. |
| Reference
No.: |
Used
for Plant Operations only. |
| Gross
Amount: |
Dollars
to reallocate (use format $xxx.xx). |
| Salary/Benefit
Credit: |
Six-digit
FRS account, four-digit subcode for the account to be
credited. |
| Pay
End Date: |
Pay
period end date. Use the correct last date of the month
(format mmddyy). |
| Adjustment: |
Not
currently used. |
| Reasons: |
Give
a detailed explanation as to why the reallocation is necessary. |
|
Signatures: |
Form
needs appropriate signatures from authorized department
representative, ORA(for grant or contract), and the Controller's
office. |