Payroll/personnel Authorization Form
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1Payroll/Personnel Authorization Form
Clear All Fields
Shaded fields are required. Email HR (hr@iit.edu) or Student Employment (seo1@iit.edu) with questions about when and how to complete a Payroll Authorization.
Campus:
Last Name:
Date Prepared:
Department:
First Name:
Employee Type:
Title:
CWID:
Reason:
J4H ID
:
* Supervisor:
(student jobs only)
Replaces:
(if new hire)
If New Hire/Rehire:
If Change:
If Single Payment:
If Termination:
Effective Date:
From: $
To: $
Amount: $
Add to Payroll: $
Payment Date:
Per:
Per:
Per:
Effective Date:
Effective Date:
Explain reasons for single payment in
comments section and attach related
Student employees are paid hourly.
End Date:
documentation.
(Exceptions: GAs RAs, and TAs)
PROG
FOAP Information
FUND
ORG
ACCT
PERCENTAGE
Contact your budget administrator for
FOAP
information.
If split between multiple FOAPs, make sure they total 100%.
For FWS students, assign 100% to your department FOAP/s.
0.00
Prepared By:
Phone Number:
Email:
Comments:
Documents Attached:
Direct Deposit Authorization
Completed I-9
W-4s
Other (specify):
Save
Print
Approvals
*Two approvals required, one of which must be the employee's supervisor.
*Supervisor: ____________________________ Date ______
Signature
Dept. Head/Budget Mgr: ______________________ Date _____
Signature
____________________________
____________________________
printed name:
printed name:
V.P. / Dean: ____________________________ Date ______
Signature
HR: ___________
IIT Budget Dept.: ___________
____________________________
printed name:
*Must be employee's supervisor. Other authorized timesheet approvers can be assigned as proxies by the supervisor through the MyIIT portal.
Student Employment: Completed student Payroll Authorizations should be scanned and sent to the Student Employment Office, seo1@iit.edu.
For use by SEO/HR:
SEO ______________
/
l-Center ______________
Academic Period _________
Credit Hours
_______
Non-FWS
FWS
E-Class _________
Position Control Number - Suffix _______________ – ______
Org. Code
____________
Revised 05/2016
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Parent category: Business