EASTERN MICHIGAN UNIVERSITY
ADDITIONAL COMPENSATION APPROVAL REQUEST FORM
EMPLOYEE INFORMATION
Last Name First Name Email Employee ID # Appt %
Job Title Home Department ____________________________
AP AH AC CA CS FM CP PE PT PS
Note: LL Classifications (Part-Time and Adjunct Lecturer use PAF process.)
Org #
Account
Program
FUNDING INFORMATION
This Expense: Fund
JOB ASSIGNMENT DETAILS
Describe the specific work being performed with supporting documentation:
Dates Worked: From To
Non-Exempt Employees (AH, CA, CS, CP, FM, PT, PS): Additional Compensation Hourly Rate $__________
Must include dates and hours worked per week as an attachment. Please be advised that a blended overtime rate will be calculated by HR which will
determine the total amount to be paid to employee.
Exempt Employees (AC, AP, PE):Total Amount of Additional Compensation $__________
To be paid out in equal payments over the duration of the time period worked
ADDITIONAL COMPENSATION TYPE:
Supplemental Pay.
Current employee performing a function or service outside of current position scope to another department or account
on own time, (e.g. staff teaching assignments, working at events, facilitating workshops.) The requested payment includes
an appropriate amount for overtime resulting from combined regular and supplemental work on each day or week.
Collective Bargaining Agreement Contractual Payment.
Activities or duties outlined in a collective bargaining agreement (e.g. royalties, attending meetings, or coursework).
Employment Contract Payment
.
Payment outlined in an individual employee contract (e.g. commission, bonus).
Signature
Date
Signature
Date
Signature
APPROVALS NEEDED PRIOR TO WORK BEING COMPLETED
Director/Department Head
Grants Accounting (if applicable)
REVISED: 11/10/2016
HR Compensation Department
Date
Signature
Requester/Originator of Add Comp
Provost Office (if applicable)
Signature
Date
Date
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