Hope College Business Services: Faculty/Staff Over & Above Request
FACULTY/STAFF
"Over & Above" Wage Payment Request

For services performed in addition to the contracted/regular salary, please pay to:

Name: Hope ID#:
Amount: $ (gross amount only - do not include benefits)
# of payments: One lump sum in the next regular payroll
Equal installments beginning

Expense to
Fund (5 digits): Account

check one

6110 Faculty - Full time
6111 Faculty - Part time
6115 Stipend
6120 Admin. - Full time
6121 Admin. - Part time
Description of Services Provided:

 
Requested by: Date:
Approved: _____________________________________
Dean/Supervisor
_____________________________________
Provost/Vice-President
_____________________________________
Business Services
____________
Date
____________
Date
____________
Date
     

PAYROLL OFFICE USE

Retirement Eligible ________

Check if eligible for retirement. Generally only payments from grants are eligible for retirement.