Umd Person Of Interest Form Page 2
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2UMD Person of Interest Instructions
The UMD Person of Interest Form should be routed through your unit’s internal approval process and
then routed to POI, DAdB 255. This form cannot be entered prior to 30 days from the effective date.
BIOGRAPHICAL DETAILS
Name: Enter the POI’s primary name as it appears on their Social Security Card.
Employee ID: Enter the POI’s Empl ID (Conduct a Search for People, enter ID if one exists).
Date of Birth: Enter the Other Payee’s date of birth. Only if needed to setup ID.
National ID: Enter the Other Payee’s National ID if an Employee ID doesn’t already exist.
Gender: Check the Other Payee’s gender.
Highest Education Level: Enter the Other Payee’s highest education level.
CONTACT INFORMATION
Home Address: Enter the POI’s local address.
E-mail: Enter the POI’s e-mail address (Optional).
Home Phone: Enter the POI’s home phone number (Optional).
Campus Address/ Mail Code: Enter a campus address and mail code for the POI (Optional).
Campus Phone: Enter the campus phone number the POI will have (Optional).
ORGANIZATIONAL RELATIONSHIP
Organizational Relationship: Check the relationship the POI will hold with the University.
PERSON OF INTEREST HISTORY
Effective Date: Enter the begin date of the POI relationship.
Planned Exit Date: Enter the end date of the POI’s relationship, cannot exceed 1 year of effective
date.
Year in this role: POI relationships can be extended 2 times, but cannot exist for more than 3 years.
Department #: Enter the 5 digit Dept ID the POI will be associated with.
Department Name: Enter the name of the department the POI will be associated with.
Status: Check if you are activating or inactivating POI relationship.
AFFILIATE RELATIONSHIP DETAILS (Affiliates only)
Job Code: Enter the Job Code the Affiliate relationship corresponds with.
Department #: Enter the 5 digit Dept ID the Affiliate will be associated with.
Track: Check a Track if there is a need to capture what part of the University’s mission the Affiliate
relationship supports.
PERSON RELATIONSHIP DETAILS (External Service Providers only)
Business Title: Indicate a specific Business Title for the External Service Provider
Department #: Enter the 5 digit Dept ID the External Service Provider will be associated with.
Supervisor Empl ID: Enter the Empl ID of the External Service Provider’s supervisor.
Supervisor Name: Enter the name of the External Service Provider’s supervisor.
ADDITIONAL PAY PANEL (Other Payee’s only)
Record Number: Enter the record number of the Other Payee Shell Appointment.
Position Number: Position Management Number set up to match the Other Payee Shell Appointment.
Earnings Code: Three-character code that identifies the Other Payee’s additional pay type.
Effective Date: Start date of the additional pay on the Other Payee’s appointment.
End Date: End date of the additional pay on the Other Payee’s appointment.
Earnings: Enter the amount to be paid bi-weekly to the Other Payee.
Combo Code Override: If needed, enter the Combo Code Override.
Prepared By, Phone & Date: Name, phone number, and date of the individual that completed the
form.
Authorized Signature & Date: To be signed by the authorized personnel within your department.
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