Payroll Request Form

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Instructions
Payroll Request Form
Job Change Reason
Identification
Name
UO ID
Position
Suffix
Last
First
Middle
Department
Time Entry Org
E Class
Job Detail
Labor Distribution
(Please use a PAW for additional lines)
Index
Fund
Org
Acct
Pgm
Activity
Monthly $
%
Effective Date
Primary
Type:
Annual Basis:
1
Job End Date
Secondary
9 month
2
Overload
12 month
3
Title
(30 Char. Abbreviations)
4
Appt % (Actual FTE)
Hourly Rate
$
5
Job Location:
(Outside
Oregon)
Total
Monthly Salary
$
Appt. Salary
City
$
Employee Leave
State
Country
Base Rate
$
Begin Date
End Date
Reason
Unclassified
GTF
Tuition Code
Employee Separation
Regular
Type
Adjunct
Grade
Date
Reason
Visiting
Remarks
Appt %
Monthly $
Grad School Use:
Classified
Type
F
GTF Auth. Release
Range
W
GTF Tuition
Employee’s Supervisor
Step
S
Department Copy
Last Name ___________________________ First Name _____________________
U
Other:
UO ID_______________ Position____________ Suffix___
Department Contact
Authorization
Print
Sign
Phone
Date
Principal Investigator
Name
Dept Head
Dean/Dir.
Date
Appt. Auth.
Phone
Business Affairs PRF 03/10/16

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Parent category: Business
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