Faculty Handbook
Request for Compensation for Activities (Employees Only)
To be used for Western Connecticut State University employees only.
To expedite the processing of this form, please make sure that all questions are answered completely. Requests should be filed at least THREE (3) WEEKS prior to the start of the engagement. If you have any questions, please contact the Human Resources office at ext. 78662.
UNDER NO CIRCUMSTANCES ARE ANY SERVICES TO BE PERFORMED UNLESS THE DEPARTMENT HAS RECEIVED APPROVAL.
Procedure:
| Department ____________________________________________ | Payment Requested by________________________ |
| Signature of Financial Manager ____________________________________________ | Date _____________________________________ |
| Banner Org. # ____________________________________________ | Financial Manager (print name)_________________ |
| Payment to be made to__________________________ | Banner ID#________________________________ |
| Complete Description of Services | |
| __________________________________________________________________________________________________ | |
| __________________________________________________________________________________________________ | |
| __________________________________________________________________________________________________ | |
| Date(s) of Engagement __________________________________ | Amount of Payment __________________________ |
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|
| APPROVALS: | |
| PART A | |
| Signature of Dean/VP/President ___________________________ | Date______________________________________ |
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|
| PART B (required if request is over $500) | |
| V.P. of appropriate division/President________________________ | Date______________________________________ |
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|
| PART C | |
| Associate V.P., Human Resources__________________________ | Date______________________________________ |
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|
| PART D | |
| Fiscal Affairs Office_____________________________________ | Date______________________________________ |
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|
| PART E Notice to Payroll Office: I verify that the service described above has been performed and approve payment for the same. | |
| Signature of Financial Manager_____________________________ | Date______________________________________ |
| *Signature of Dean/VP/President____________________________ | Date______________________________________ |
| (* only required for payments on behalf of Financial Manager) | |