Umd Temp/casual & Student Personnel Action Form
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1
2UMD
Temp/Casual* &
Student Personnel Action Form
* Not to be used for Academic Temp/Casual (Shell) appointments
Ready for "Prepare to Hire" Job Opening#: ____________
Yes
If no Job Opening#, rationale provided to HR/EO?
EMPLOYEE INFORMATION
(attach email to PAF)
Name: ____________________________________
Empl ID # ____________
Empl Rcd # ____
Last, First, Middle
(legal name as appears on Social Security card)
(Required on all but new hires)
ACTION/REASON
Reason
Eff Date
Action
__________________________
___________________
1. ___________________
__________________________
___________________
2. ___________________
__________________________
___________________
3. ___________________
JOB DATA
Position #:____________
DeptID:__________
Expected Job End Date: ___________
Job Code: _________
Empl Class:
Student Employee (2xxx)
Temp/Casual (0001, 0007)
For Undergrad Stud, choose one
For Temp/Casual, comparable:
Misc (Not Work Study)
Work Study*
Job Code: ________
*
Work Study Referral Form
Salary Plan/Grade: ____/____
may need to be attached.
Pay Group:
PLH
Components of Pay:
Employee Type:
Hourly
Rate Code
Comp Rate
Comp Frequency
1.
HRLY
Hourly
_________
**Only used with Job Code 2009
Salaried
2.
ASGN**
N/A**
(Freq Biweekly)**
Annual**
General Comments: Temp/Casual?
Yes
No
(for Temp/Casual provide description of job duties the
employee will perform.)
Additional Pay Panel
End Date
Hours
Amount
Earn Code
Eff Date
Hourly Rate
(Lump Sums/Flat Rates)
1.
2.
If needed, Additional Pay Panel Combo Code Override:
Prepared By:
Campus Address:
Phone#:
Date:
HR&EO Use Only:
Date:
Authorized By:
HRMS Check:
**See page two for helpful definitions/information.
HRMS Entry:
Form Last Updated 3/4/16
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Parent category: Business