Supplemental Compensation Form (Appointed Personnel)

• Form
• Purpose
• Instructions
• Approvals
• Routing
• Handbook for Appointed Personnel, 2.06.07 Supplemental Work for the University

NOTE: This form must be printed on 4 part NCR paper. Four part NCR paper for laser printers can be obtained through Stores.  Found under Paper- Stores Order #0100 4013
Description: Paper 4-part NCR 8.5 x 11, White/canary/pink/gldrod, 125 ST/PK 10 CS
Manufacturers No. UNO07F7832

Purpose

The Supplemental Compensation form is used to authorize compensation in addition to the amount specified in the Notice of Appointment or Personnel Action/Notice of Reappointment.

If you have any questions, please contact Systems Control at 626-7075.

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Instructions

Several of the fields on this form are self explanatory, those needing explanation are explained below:
1. Indicate if the request is Original, Revision (revising an existing request), Continuation (extending an existing request).

2. Complete the Employee Name, etc. with the employee's current employment information. This is available from PSOS, screen 03.

3. Supplemental Comp. Info: Complete with the proposed supplemental compensation information. Payperiod dates are available at:

   http://www.fso.arizona.edu/Payroll/calendars.html

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Approvals

• The Department Head of both the department requesting supplemental comp and the employee's home department.
• The Home Department Dean/Director.
• Senior Vice President
• Fund Accountant(s) for the accounts to be charged.

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Routing

Retain a copy for your records.

Send the signed original and two copies to Systems Control for processing.

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