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Scheduled Payments Form Letter

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					                                                                                    RENSSELAER
                                                            Tenured/Tenure-Track Faculty and Non-Tenured Instructional Staff
                                                                        Supplemental Pay Authorization Form

Position #:                                                                                                                                                                   New
       RIN:                                                                                                                                                                Revised
    Log #:                                                                                                                                                 AY Salary Change ONLY 3


Work Dates:                 From:                             To:                                              Current Fiscal Year Academic-Year Salary:
                                                                                                                 3
                                                                                                                   Next Fiscal Year Academic-Year Salary:
       Name:
      School:                                                                                                                        Maximum Summer: $                                     -
        Title:
        Dept:                                                                                                       Grand Total (from allocation below): $                                -

                                                  1                        1                                                            2
REASON CODES:              A - Research/startup       B - Administrative       C1 - Base Overlead   C2 - Summer Instruction D - Other

                                                                         Authorization Distribution and Payment
    Addition   Reason                                                                                      Calculation
    /Change     Code            Fund                  Org           Acct*    Program          Activity       Method                         Payment               %          Description
           Pay Cycle #1:         Start Date:                                  End Date:
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                       Total                           -          0.00%
           Pay Cycle #1:         Start Date:                                       End Date:
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                       Total                           -          0.00%
           Pay Cycle #1:         Start Date:                                       End Date:
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                                                       -
                                                                                                                       Total                           -          0.00%
           Pay Cycle #1:         Start Date:                                       End Date:
                                                                                                                                                      -
                                                                                                                                                      -
                                                                                                                                                      -
                                                                                                                                                      -
                                                                                                                                                      -
                                                                                                                                                      -
                                                                                                                                                      -
                                                                                                                    Total                             -           0.00%
                                                                                                             GRAND TOTAL                              -

1
 Copy of appointment letter with specific details of startup or administrative supplement must be attached                     Additional Notes:
2
 Attach a complete explanation and give reason for supplemental pay
* 208 - Academic Year service * 208S - Summer Supplemental (5/16 - 8/15)

          Authorization prepared by (Please Print):                                                      Phone:                                       Date:     5/15/2010


Signatures of Approval Required on All Requests:


Department Head                                        Portfolio Business Manager                     Vice Provost and Dean for                               Provost Office Business Manager
                                                                                                      Undergraduate Education
                                                                                                      (Summer Instruction Only)

Additional Signatures of Approval Required for Code C1- (base overload only) and D:


Academic Dean                                          Provost                                        Vice President for Human Resources

3
    Additional Signature of Approval Required for AY Salary Change ONLY:


Academic Dean                                                                                                                                                          Form revised 04/13/2010
                                    Calculation Method: Show in Fractions* on Supplemental Form


                  *Fraction of Academic
                       Year Salary                 Credits           Hours      Weeks                Desc
                           1/36                                   40 hours    1 Week     1/36 AY
                           1/27                  1 Credit         53 hours               1/27 AY
                           1/18                                   80 hours    2 Weeks    1/18 AY
                           2/27                  2 Credits        107 hours              2/27 AY
                           1/12                                   120 hours   3 Weeks    1/12 AY
                           1/9                   3 Credits        160 hours   4 Weeks    1 Month
                           5/36                                   200 hours   5 Weeks    5/36 AY
                           4/27                  4 Credits        210 hours              4/27 AY
                           1/6                                    240 hours   6 Weeks    1/6 AY
                           7/36                                   280 hours   7 Weeks    7/36 AY
                           2/9                                    320 hours   8 Weeks    2/9 AY
                           1/4                                    360 hours   9 Weeks    1/4 AY
                           5/18                                   400 hours   10 Weeks   5/8 AY
                          11/36                                   440 hours   11 Weeks   11/36 AY
                           1/3                                    480 hours   12 Weeks   1/3 AY
                         1/1440                                   1 Hour
                         2/1440                                   2 Hours
                         3/1440                                   3 Hours
                         4/1440                                   4 Hours
                         5/1440                                   5 Hours
                         6/1440                                   6 Hours
                         7/1440                                   7 Hours
                         8/1440                                   8 Hours
                         AY Supl                                  n/a                    Academic Year Suppelental
                       Admin Supl                                 n/a                    Administrative Supplemental
                           OTC                                    n/a                    Over the Cap




D:\Docstoc\Working\pdf\19370d09-bcb7-4618-94a8-f86c40caacf3.xls                                                        8/10/2011 pg 2 of 3
INSTRUCTIONS


SUMMER SUPPLEMENTAL (208S)

A faculty member may receive a maximum of 1/3 academic year salary as supplemental pay during the entire year (52 week period).

Authorizations for summer supplemental payments must be properly routed and delivered to the Office of the Provost by May 1.
Authorizations must be received at least four weeks prior to the applicable scheduled payment date.

Payments for the summer will be from 5/31 - 8/15 (spread over 6 payments) unless otherwise indicated on this form. If paperwork is late, payments will be remitted retroactively.

Failure to meet this schedule will result in the payment being delayed one pay period.

The Faculty Supplemental Authorization Form should be used for changes to faculty pay only.
Changes in FOAPA distribution should be made on a Planned Labor Distribution Change Form or changed through the labor redistribution process.
Changes in total pay require a revised Supplemental Pay Form.
For non-uniform payments and changes in payment amount, a spreadsheet detailing the information will need to be attached.

Changes in academic year pay rate, effecting summer pay, need to be resubmitted on the Supplemental Pay Authorization Form.
Only approval signatures from the Portfolio Business Manager and the Academic Dean are needed for AY pay rate changes.
All other pay changes require approval per the Tenured/Tenure-Track Faculty and Non-Tenured Instruction Staff Supplemental Pay Policy.


Labor is charged the following way:

This authorization form acts as a direct charge. If a restricted fund is charged, a verification report will be issued to the employee at the end of the period/semester.
The verification report must be signed and returned to the Controller’s Office to satisfy external audit requirements.
If this report is not signed and returned, the charges will be transferred to the department.

				
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