Division of Academic Affairs
Academic Resources and Planning
Administration Building, 3
rd
Floor
Please send this form to pbo@towson.edu
Faculty Payments Cancellation Form
Note: The purpose of this form is to cancel payments to faculty.
Important: Please contact Enrollment Services to cancel the course.
Contract ID:
Today’s Date
Semester
Appointee Name
Empl ID
Title
Dept. Name
Dept. Code
Line 1 Course HEGIS Code
Number and Section
Amount
Cancellation Effective Date
Requestor Name
Phone
E-mail
Reason for Cancellation
Complete This Section for FALL and SPRING Semesters Only
The Adjunct Policy states that “If the University has a fall or spring semester class to which an Adjunct Faculty
member has been assigned that is cancelled less than 30 days prior to the class start date, and has been unable to
offer the Adjunct Faculty member re-assignment to a comparable class, the University shall compensate the
Adjunct
Faculty member 10% of the payment amount specified in the contract or appointment letter for that
class.”
1a.
Has the course been cancelled in PeopleSoft?
2.
Is the Course Term File Cancellation Date less than 30 days prior to the class start date?
3.
Has this Appointee been reassigned to another course?
Please select one of the following:
1. NO payment.
2. 10% Cancellation Payment Amount (#1a or #1b and #2 must be "Yes" and #3 must be "No" above)
3. Partial compensation. Appointee did not complete teaching assignment. The Provost Budget
Office will calculate the total amount the appointee is entitled to.
Department Chair/Date Provost Budget Office/Date
ALL cancellation forms must be emailed to pbo@towson.edu.
If payment is due, this completed form must
be signed by the Chair and emailed to the Provost Budget Office for payment processing.
For Provost Budget Office Use: Department/Account Charge Codes
Amount
(note: this is the total amount appointee is entitled to)
Line 2 Course HEGIS Code
Line 3 Course HEGIS Code
Number and Section
Number and Section
Amount
Amount
1b. Has the course been reassigned to a full time faculty member?
click to sign
signature
click to edit
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