Please indicate unit: QB3 EBI BNNI HWNI FGL ICBS SCC CEND
2009 SUMMER SALARY REQUEST FORM
INCLUDES ATTESTATION FOR PAYMENT EXCEEDING 2.5 NINTHS ON FEDERAL FUNDS
Return completed form to your Contract & Grants Analyst
Faculty Investigator Name: __________________________ Employee ID # _____________ Academic Dept.: ____________________
Academic Personnel Contact: __________________Telephone No: _____________Email: ______________________
PIs who wish to be paid for more than 2.5 ninths/48 work days from federal sources are required to indicate by signature by April 30th the precise number of
additional days of compensation and the precise number of personal days they anticipate taking.
RES MANAGED FUNDS ONLY. PLEASE COORDINATE ANY ADDITIONAL SUMMER SALARY WITH APPROPRIATE DEPARTMENTS .
Dates Days Personal % Chartstring Agency Name C&G Analyst
Worked Days Fund-Org-Program-Project -Flex Approval
May 22 - 31, 2009
6 days or .3158 maximum
June 1 – 30, 2009
22 days or 1.2105 maximum
July 1 – 31, 2009
23 days or 1.2105 maximum
August 1 –19, 2009
13 days or .6842 maximum
TOTAL DAYS HRMS/OPTRS Entry date:
(57 days maximum) C&G complete
GRAY SHADED SECTION FOR HR STAFF ONLY.
I understand I am responsible for assuring that my activities during the periods for which I claim summer salary are related to the extramural projects from which I am being paid, are
compliant with grant restrictions regarding maximum compensation allowed during the summer, and do not overlap with non-University activities or personal days (including
consulting and vacation days). I attest that the information cited above regarding any paid effort on federal funds is accurate and complete.
Note: 19 days = 100%; Total cannot exceed 300% (57 days) for the entire summer; NSF total cannot exceed two months/38 workdays
Faculty Academic Year Salary:__________ Monthly Summer Rate:___________ Decouple Increment: __________ Monthly Merit Rate_____________
RES will collect from departmental contact
Faculty/PI signature: _____________________ Date: __________________