Fillable Payroll Flat Rate Form TOWSON UNIVERSITY

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Payroll Flat Rate Form TOWSON UNIVERSITY

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TOWSON UNIVERSITY
FACULTY/CONTINGENT FLAT RATE PAYMENTS
SS# or EMPL# ___________________ Department Name ____________________________________ _________________
DATE/SEMESTER
NAME __________________________ Dept Funding/ Grant # and payroll account _________________ REGULAR ______
CONTINGENT ______
Payroll #
Dollar Amount
Payroll #
Dollar Amount
Payroll #
Dollar Amount
01
10
19
02
11
20
03
12
21
04
13
22
05
14
23
06
15
24
07
16
25
08
17
26
09
18
Assignment Description _____________________________
_______________________________
Authorized Signature
_______________________________
Telephone #
REV 04/2014
TOTAL
-
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Payroll Flat Rate Form TOWSON UNIVERSITY

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Completed 13 February 2020

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