Hampshire College Cell Phone Additional Compensation Form – STPS
Less than 12 month employee
Please make sure all of the following steps are completed:
1. Please complete all data and have budget supervisor, division head, and director of strategic budgeting & analysis sign form. Send to HR prior to payroll deadline.
2. All grant funded additional compensation forms must be approved by the controller. The form will then be forwarded to human resources for processing.
Missing data may delay processing
NON-EXEMPT (Bi-Weekly paid)
EXEMPT (Monthly paid)
Employee Data (please print)
Name: _____________________________________________________________ _____________________________________________ _________
Last First Position Title FTE
Funding Source Information
Department/School __________________________________________ General Ledger Account: 80* 90 - 0 - __________________ - 63061
Dept. #
Start Date: ___________________ End Date: ____________________ Total amount to be paid: ** $________________ Total number of payments: _________
(first of month or payroll period) (end of month or payroll period) (total annual amount) (mos/wks)
Description of Additional Compensation: CELL PHONE STIPEND Reason for Additional Compensation: CELL
____________
**
Monthly-paid = $40.00 pp x # of mos. in employee employment cycle **Bi-Weekly-paid = $20.00 pp x # wks. in employee employment cycle
Authorization – Required Signatures
______________________________________________________________ ________________________________________________________________
Budget Manager/Supervisor Name (printed) and Signature/Date Division Head Signature/Date
_______________________________________________________________ ________________________________________________________________
Director of Strategic Budgeting & Analysis Signature/Date Human Resources Signature/Date
*Grants (80 accounts) require this additional authorization: _______________________________________
Controller Signature/Date
Human Resources Processing
Position ID # input
three periods - and employee’s current position will default in field Pay Cycle: MP EP Earnings Type: CEL1
Payroll Designation:
Restricted Pay Period Gross: $_____________ Human Resources Process Date/Initial: _______________________
This form is confidential and should be treated accordingly.
Distribution by HR: Payroll - HR/Personnel File - Department/School Less than 12 months Additional Compensation – CELL 12-2016
click to sign
signature
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click to sign
signature
click to edit
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click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
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