subject_line
Temporary Pay Request Form
Employee Name
*
Email Address
*
Date
*
+
Type of Service
*
Adult Ed Substitute
Club Advisor
Coaching Agreement
Other
Job Title
If other, please explain:
Duties:
Start Date:
+
End Date:
+
Budget Code to be Used:
*
Amount to be Paid:
*
Payment Type
*
Equal Installments
Lump Sum
Bi-weekly
Other
On which pay date?
+
Beginning on:
+
Please explain:
Other Conditions of Employment
Name of Form Originator:
Email Address of Form Originator
Supervising Administrator Name
Norton, Holly
O'Brien, Brad
Oldfield, Curt
Siddaraju, Raj
Strauman, Mike
Thomson, Andrea
Wilkinson, Missy
Supervising Administrator Email
Ready to submit?
Yep!
Questions about this form? Contact Andrea Thomson.
Section 2: To be Filled Out by Supervising Administrator
Comments:
Approved
Rejected
Date
+
Ready to submit?
Yep!
Questions about this form? Contact Andrea Thomson.
Section 3: To be Filled Out by CFO
Comments:
Approved
Rejected
Date
+
Ready to submit?
Yep!
Questions about this form? Contact Andrea Thomson.