SUBST
ITUTE PAY ONLY
FULL-TIME FACULTY (FTF)
ADJUNCT FACULTY (AF)
ANNUALLY CONTRACTED
FACULTY (ACF)
EMPLOYEE NAME ___________________________ COLLEAGUE ID ___________________
DEPARTMENT ______________________________ ACCNT NO. _______________________
COURSE
DATE / TIME
NUMBER
SUBSTITUTING FOR
REASON HOURS
Supervisor's Signature _____
_________________________________
HR/PAYROLL USE ONL
Y
PAY DATE:
Processed by _______________
Rev. 09/10/2019
TOTAL HOURS
Select the applicable pay rate from the dropdown menu and then hit enter.
PAY RATE:
TOTAL COST
_______
Send Form to:
leaverequest@cscc.edu
Departments:
Locations:
Administrator's Signature ___________________________________
Date_______________
Date _______________
Accounting
_______________________________
0
____________
$ 0.00
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