Annual Cap Change Request Form

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KSOM REQUEST FOR CHANGE IN MAXIMUM ANNUAL
ON-CALL COMPENSATION (CAP)
DATE SUBMITTED______________________
FISCAL YEAR__________________________
DEPARTMENT NAME________________________________
Request for change in CAP (estimate for annual on-call compensation) – This may be an increase or a
decrease.
New
Employee
Faculty Name
Account
Current Cap
New Cap
$ change
Faculty
ID
number
(+ or -)
Y or N
Approval Requested (electronic signatures ok) or this form may accompany an email from the department
chair providing approval.
Administrator ___________________________
Date______________________
Department Chair________________________
Date______________________
Final Change approval:
Med/ Finance____________________________
Date______________________
Faculty Affairs___________________________
Date______________________
Provost’s Office__________________________
Date______________________
Form Date: 10-09-14

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