Biweekly Supplemental Form

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Biweekly Supplemental Form
This form is used to submit several types of supplemental pay (extra pay) that is due to biweekly paid employees. The
INSTRUCTIONS
completed form must include approval signatures and should be submitted to Payroll Services. Please complete all sections that apply.
Adloc Name:
Adloc:
Pay Sequence:
Employee Name:
UIN#
PIN#
Title Code:
Object Class:
Rate of Pay:
Termination Date:
VACATION/HOLIDAY LEAVE PAYOUT – Use if employee terminates, moves to non leave-accruing position, or as a death benefit
Attach copy of the Employee YTD Activity Report from LeaveTraq showing the Lump Sum Transaction. If not on LeaveTraq, attach an alternate supporting
leave report to document the number of accrued vacation hours.
__________
__________
Total number of vacation hours to be paid:
Total number of holiday hours to be paid:
(Note: Maximum number of vacation hours is 784)
** Calculation of Holiday Hours due begins the day after termination and goes forward in time to include any holidays falling within the time frame of the
employee’s available vacation hours. To determine holiday pay eligibility, refer to System Regulation 31.04.01 Sec 3.
Account:
Accounting Analysis:
Gross Pay Due:
SICK LEAVE – Use as a death benefit only
__________
__________
Total sick leave hours
/2 = Sick leave/death benefit hours to be paid:
(Note: Maximum number of sick leave hours for estate of deceased person to be paid is 336 hours)
Account:
Accounting Analysis:
Gross Pay Due:
-
LONGEVITY
__________
__________
Total number of longevity months due:
Longevity rate per month:
From:_________________ (beginning month) to _________________ ending month)
(Note: Please attach the
Request for Employment Verification
form)
Account:
Accounting Analysis:
Gross Pay Due:
SUPPLEMENTAL PAY-
__________
Total number of straight time hours or events due supplemental pay:
__________
Amount due per straight time hour or event:
__________
__________
Total number of overtime hours due:
Amount due per overtime hour:
(Note: If you need help with an overtime calculation, please contact Payroll Services)
Date From:
Date Thru:
Gross Pay Due – Overtime:
Gross pay due-Straight time hours/events:
Account:
Support Acct:
Accounting Analysis:
SUPPLEMENTAL PAY EXPLANATION - Enter a brief description of the reason for the supplemental pay
I certify that I am acquainted with the employee listed on this payroll supplemental form or that I have received necessary details from persons privy to
and technically qualified to substantiate effort distribution, and that to the best of my knowledge and belief the employee is entitled to the payment shown
on this supplemental form and that the distribution of pay between the departments and projects is true, correct and properly presented by the
percentage of effort indicated. I ensure that appropriate leave has been taken by the employee in accordance with relevant University leave
requirements while performing additional work. Any exceptions are indicated by explanatory note.
____________________________________
_________________________________________________________________________________________
Approved By-Print Name
Phone
____________________________________
_________________________________________________________________________________________
Approved By-Signature
Date
Privacy Notice: State law requires that you be informed that you are entitled to: (1) request to be informed about the information collected about yourself
on this form (with a few exceptions as provided by law); (2) receive and review that information; and (3) have the information corrected at no charge. To
request this information, contact the Payroll office using the information below
TAMU —SUBMIT TO:
TAMU—Questions
TAMUG—SUBMIT TO
Payroll Services
Payroll Services
College
Station--payrollprocessing@tamu.edu
payroll@tamug.edu
Team PhD – 845-2782 or 845-2787
General Services Complex, Suite 1201
FAX (979) 845-4134
Team CEO – 845-2797 or 845-2760
MS 1261
Questions?
Team SWAT – 862-2898
payrollprocessing@tamu.edu
payroll@tamug.edu
Fax (979) 845-4134
(979) 845-2797 or (979) 845-2760
#302 Biweekly Supplemental Form
Revised 10/9/2012
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