Supplemental Compensation Form (Classified Staff)

NOTE: This form can be printed on regular paper.


Purpose

    The Supplemental Compensation form for Classified Staff is used to authorize compensation beyond the employee's regular assignment. Please refer to Classified Staff Personnel Policy Manual, 316.0 Supplemental Compensation for the definition of Classified Staff work assignments that qualify for Supplemental Compensation.

    AHSC departments: If you have any questions, please contact the AHSC Human Resources office at 626-2600.

    Main Campus departments: If you have any questions, please contact your Employment Advisor.

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Instructions

    Several of the fields on this form are self explanatory. A basic overview of the form is provided below.

    1. Indicate if the request is Original, Revision (revising an existing request), Continuation (extending an existing request).

    2. Primary Position Information: Complete the Employee Name, etc. with the employee's current employment information.

    3. Supplemental Compensation Information: Complete with the proposed supplemental compensation information. Payperiod dates are available at: http://www.fso.arizona.edu/payroll/payday-calendar

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Approvals

Obtain the following signatures:

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Routing

    Retain a copy for your records.

  • AHSC Departments: Send the signed original form to the AHSC Human Resources office, AHSC room 2233.

  • Main Campus Departments: Send the signed original form to the Compensation section of Human Resources, USB Room 220.

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