WHEN TO USE THE FLAT RATE PAYMENT FORM:
To pay contingent faculty or staff a flat rate salary for exempt job duties.
To pay regular faculty or staff for additional exempt duties as secondary employment.
HOW TO COMPLETE THIS FORM:
SS#/Empl: Employee social security number or Empl ID number.
Dept. Name: Department to which salary is to be charged.
Date/Semester: Date/semester work is to be performed.
Name: Employee’s name.
Funding Dept. or Grant#: Five digit department or Seven digit Grant # from the Chart of
Accounts plus the Six digit payroll account.
See online Chart of Accounts at
https://inside.towson.edu/financialserv/chartofaccounts.vFS2/
coamain.cfm
Regular/Contingent: Indicate if employee is on regular or contingent payroll.
Payroll #: The payroll number(s) that correspond to the date(s) on the
Payroll Schedules when the employee performed the work.
Payroll Schedules are available on Payroll’s Web Page.
Dollar amount: The amount to be paid each pay period.
Total: Total of all payments listed.
Assignment Description: Brief description of assignment.
Authorized Signature: Person authorized to sign for department.
Telephone #: Telephone # of person authorized to sign for department.
WHERE TO SEND THE FORM:
Form should be submitted to OHR along with all the appropriate hiring documentation.
Questions? Call the Financial Services Help Line at 4-5599
Rev: 4/2014
