Arkansas State University
Labor Redistribution Request Form
Employee ASU ID_________________ Employee Name________________________________
Dept./College___________________________ Dept. Contact___________________________
Dept. Phone_____________________
Requested Distribution
FUND ORGN ACCT PROG
EFFECTIVE DATES*
% TO BE
PAID
From
To
Total
Current Distribution
FUND ORGN ACCT PROG
EFFECTIVE DATES
% TO BE
PAID
From
To
Total
*This form should only be used for the period that we are certifying. For example, if we are certifying for the
Summer, we can only use the dates May 16 through August 15. If you would like to reallocate or make
changes for current or future periods, please use the HR forms located on their website.
Notes
0.00
0.00
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