Fillable Request For Compensation

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Request For Compensation

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The Request For Compensation form is 1 page long and contains:

  • 5 signatures
  • 2 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Arkansas Tech University

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Arkansas Tech University
Request for Compensation – Grants and Sponsored Programs
Faculty Member ______________________________________________________________________
Title of Grant _________________________________________________________________________
Awarding Agency ________________________ Position Number ________________________
Index Code _____________________________ (to be provided by Budget and Special Programs)
Payment Allocation Period
Year
Month
Amount
Total Requested
*Total salary requested must not exceed total salary approved by granting agency in the awarded budget paperwork.
Does the amount requested during the academic months exceed 20% of your base salary? ___Yes ___No
If so, any amount requested above 20% of the academic year salary must have the approval of the Vice
President for Academic Affairs and President. Please attach the approval to this form when submitting.
I certify the total amount of compensation requested is in accordance with the applicable program
guidelines and has been approved by the awarding agency.
____________________________________________________ __________________________
Faculty Member Date
____________________________________________________ __________________________
Department Head Date
____________________________________________________ __________________________
Dean Date
____________________________________________________ __________________________
Budget and Special Programs Director or Designee Date
____________________________________________________ __________________________
Associate Vice President of Sponsored Programs and University Date
Initiatives or Designee
0
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Request For Compensation

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Completed 16 March 2020

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