Payment Authorization

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Completing the Lump Sum Relocation Incentive Payment Authorization Form Instructions for Completing the Form Electronically The Relocation Incentive Payment Authorization form is used to process the relocation incentive payment and provides the Payroll Office with the information necessary to make the payment. This form is designed to be completed in Microsoft Word using the form completion feature. Use the tab key to move from field to field to enter the requested information. If you need to revise text that you have entered you can use your mouse to position your cursor in the field that you need to change. The individual preparing the form follows these steps: 1. Save the downloaded form to a location where you can find it, if necessary. 2. If the cursor is not already in the first form field, place it there and enter the requested information. 3. Use the tab key to move to the next form field. 4. Upon completion of each field, use the tab key to move to the next form field until all of the relevant electronic fields have been completed. 5. Save the form to a directory where you can access it. 6. Print and sign the form. 7. Obtain Supervisor and Administrator signatures as necessary. 8. Route or process the form as required. If you have questions about completing this form, please contact your Human Resources Operations office for assistance. Please report any technical problems accessing or completing this form to uwhr@u.washington.edu. Distribution: Attach a copy of the completed Relocation Incentive Payment Approval Request form and send both forms to the Payroll Office Manager, Attn: Ginny Montgomery, Payroll Office, Box 355655. University of Washington | Human Resources Revised: 11/1/07 University of Washington | Human Resources | Payroll Office RELOCATION INCENTIVE PAYMENT AUTHORIZATION FORM Complete and submit this form when the employee who is to receive the relocation incentive payment has begun University employment, has a UW ID number and is on the payroll. Attach a copy of the completed Relocation Incentive Payment Approval Request form and send both forms to the Payroll Office Manager, Attn: Ginny Montgomery, Payroll Office, Box 355655. SECTION I – COM PLETED BY EM PLOYING DE PARTMENT ADMINISTRATOR OR PERSON WI TH BUD GET AUTHORI TY Employee Last Name: Approved Relocation Incentive Amount Payment: First Name: Middle: Budget Number: EID: Date Payment to be Made: Apt #: $ City: City, Employee Home Address (use new Washington address, not former address): Street: Street Number and Name, State: State, Zip Code:Zip Code Apt. No Department Administrator Email: Departmental Administrator or person with budget authority: Department Administrator Phone: Administrator Name Administrator Signature: Date: ____________________________________________________________________________________________ _________________________________________ University of Washington | Human Resources Revised: 11/1/07

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