Fillable Addition to Payroll (Hourly Employees may NOT use (New Mexico Institute of Mining & Technology)

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Addition to Payroll (Hourly Employees may NOT use (New Mexico Institute of Mining & Technology)

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_______________________________________________, 900 ______________________________
Employee Name Banner ID
Agree to a one-time payment of $______________________________* for services listed below.
Index/Account # _________________________________________________________________
Describe service provided in detail/Moving detail; Include Dates of Service/Move;
_________________________________________________
Supervisor, Chair or PI Date
______________________________________________
Employee Signature Date
I certify the a
bove service is complete, true and correct.
I certify the above service is complete, true and correct.
******************************************************************************************************************
To be completed by Department or HR Director
_____For One-time payment for services outside the scope of current position(SUP)
_____ Moving Reimbursement(MET)
_____ For Additional duties within the scope of position(ADD)
*(Employee will be paid NET PAY unless specified otherwise in the description section. Taxes and other applicable
amounts will be applied against this addition to pay.)
__________________________________ ______________
Completed by-Print Name Date
******************************************************************************************************************
Approvals:
______________________________________________
_________________________________________________
Department V.P.
Date
Budget & Analysis/SPA Date
______________________________________________
_________________________________________________
Human Resources
Date
V.P. Admin & Finance Date
Addition to Payroll
(Hourly Employees may NOT use this form.)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
PP0001
Revised—
11/13/2018
New Mexico Institute of Mining and
Technology is an Equal Opportunity/
Affirmative Action Institution.
Payroll Use Only:
Entered By:
Verified By:
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Addition to Payroll (Hourly Employees may NOT use (New Mexico Institute of Mining & Technology)

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Completed 24 August 2020

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