Employee Data Form - University Payroll Services
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2Workday Time Tracking Template
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UNIVERSITY PAYROLL SERVICES
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E M P L O Y E E D A T A F O R M
Name:
Employee #:
Address:
Social Sec #:
ACTION (check one):
___
New Hire
___
Rehire
Phone:
___
Promotion
___
Reclassification
Prior Name:
___
Late Pay
___
PCR
___
OTHER:
Home Department #:
Department Name:
Work Address:
Phone:
Mail Code:
Marital Status:
Dependents:
Disab:
Union:
Date of Birth:
Gender:
Veteran:
Ethnic:
Country of Citizenship:
Supervisor:
Hire Date
Job Code:
Job Title:
Perm/Temp:
Pay Frequency:
Start Date:
Reg/Cas:
Pay Option:
Annual FTE:
Bene Elig:
Percent:
Fiscal/Acad:
Hours per Week:
Staff:
Faculty:
Student:
Funding Information
Ern Line Account Number
Obj
Regular
Start Date
End Date
Pct
Irreg Rate
Amt to Pay
Code
Rate
P A Y R O L L
C H E C K
R E Q U E S T
Pay Period:
Freq:
GROSS PAY DUE:
_________________
Reason:
NET PAY DUE:
_________________
*TAX MODELLING MUST BE ATTACHED
Ern Line Account Number
Amount
Processed by
Batch Number:
Date Issued:
Check Number:
HOME DEPARTMENT SIGNATURE
DATE
EMPLOYEE SIGNATURE (NEW/REHIRE) DATE
DEAN/DIRECTOR
DATE
PAYROLL SERVICES
DATE
04/98
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Parent category: Business