Fillable PERALTA COMMUNITY COLLEGE DISTRICT EMERGENCY SALARY ADVANCE REQUEST (Berkeley City College)

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PERALTA COMMUNITY COLLEGE DISTRICT EMERGENCY SALARY ADVANCE REQUEST (Berkeley City College)

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PERALTA COMMUNITY COLLEGE DISTRICT
EMERGENCY SALARY ADVANCE REQUEST FORM
Date of Request: ___________
Request: I hereby request a salary advance in the amount of $_________,
which is not more than 90% of my net salary earned at the time of this
request. This is an emergency* request because: ___________________
____________________________________________________________
*Emergency is death in family or medical emergency
The District allows for a salary advance to be approved only once in each six
month period.
Requested by: ____________________________________________
Printed name and Employee ID number
Employee’s signature_______________________________________
Contact Number: ______________Email: _______________________
Routing:
1. Supervisor’s Signature or Designee _______________________
2. College Site – President’s Signature or Designee / District Site –
Manager’s Signature or Designee _________________________
3. District Payroll Office___________________________________
This employee has earned sufficient funds to cover this advance
4. Final action by VC of Finance_____________________________
Approved __________Disapproved __________
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EMERGENCY SALARY ADVANCE REQUEST FORM FAQ’S
Who is eligible?
All active Peralta Community College District employees who have
an emergency (i.e. death in family or medical emergency) and have not
received an advance within the past six month period.
How is the advance calculated?
The advance amount is calculated on the actual earnings earned at
the time of the request, less taxes, retirement and other deductions.
This advance cannot exceed 90% of the calculated net (take home)
amount.
What should be attached to the request form?
If you are an employee who is paid by a time-sheet, please attach
the appropriate time sheet to the request form to show proof of hours
worked.
When can I pick up the check?
As soon as the request is processed and the check is available, you
will be notified.
Where do I pick up the check?
You must come to the District Payroll Office to pick up the advance
and bring a photo ID. You must also sign a salary advance
reimbursement form which states that the full advance will be deducted
from your upcoming paycheck.
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PERALTA COMMUNITY COLLEGE DISTRICT EMERGENCY SALARY ADVANCE REQUEST (Berkeley City College)

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Completed 2 February 2021

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