STUDENT COMPENSATION REQUEST
DATE:
REQUESTED PAYMENT DATE:
BIWEEKLY‐Student(Commission/PerItemPayment)
UWG EMPLOYEE NAME:
SOCIAL SECURITY NUMBER:
ADP NUMBER:
Earnings Code:
AMOUNT:
$
ADP Payroll Distribution Code
ACCOUNT/
CHART STRING:
Acct Fund Dept Program Class
DESCRIPTION OF ACCOUNT:
(Include Project/Grant # if Applicable)
ACTION INITIATED BY: PHONE #:
DATE(S) AND DESCRIPTION OF TYPE OF SERVICE(S) RENDERED
APPROVED BY:
Official Authorized Approver (See Controller Website) Date
APPROVED BY:
Academic/Administrative Office Date
APPROVED BY:
Human Resources Date
APPROVED BY:
Budget Services Date