FACULTY CONTRACT AMENDMENT
(Full-time faculty only)
DATE:
REQUESTED PAYMENT DATE:
FACULTY
UWG FACULTY NAME:
SOCIAL SECURITY NUMBER:
ADP NUMBER:
Earnings Code:
REG
AMOUNT:
$
ADP Payroll Distribution Code
ACCOUNT/
CHART STRING:
Acct Fund Dept Program Class
DESCRIPTION OF ACCOUNT:
(Include Project/Grant # if Applicable)
ACTION INITIATED BY: PHONE #:
DATE(S) AND DESCRIPTION OF TYPE OF SERVICE(S) RENDERED
Have you been given release time to perform this work? Yes No (if Yes, please explain)
APPROVED BY:
Official Authorized Approver (See Controller Website) Date
APPROVED BY:
Academic/Administrative Office Date
APPROVED BY:
Vice President Date
APPROVED BY:
President Date
APPROVED BY:
Human Resources Date
APPROVED BY:
Budget Services Date