Youngstown State University
Payroll Transfer/Labor Redistribution Request
Request Date:
To/From
FUND
ORGN
ACCOUNT
AMOUNT
(6 digits
)
(6 digits
)
(6 digits
)
Example
F
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9,999
Reason:
Payroll use only
Processed by:
Approved by:
Processed by:
(Signature)
INSTRUCTIONS
1. "Reason" for transfer should be as detailed as possible. Include affected earnings codes if known.
2. Attach related documentation if appropriate (i.e. - appointment form, contract, etc.).
3. Sign, date and send form to appropriate office for approval
(Grants Accounting for grant corrections; Human Resources for all others)
Human Resources - 3-28-2008
PROGRAM
(2 digits)
$
9
9
$
$
$
$
$
$
Request Originator (Signature)
Employee
Name:
Pay Check Date(s):
Banner ID: Y
If there is more than one person on the same transfer, attach a separate list with the individuals' names, Banner IDs,
pay amounts and pay check dates.
Date
Date
Financial Manager (if applicable) (Signature)
Date
Date:
Date:
HR use only
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