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Temporary-administrative-contract-amendment - Temp_Admin_Contract_Amend

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TEMPORARY ADMINISTRATIVE CONTRACT AMENDMENT
(Full Time Administrative Only)
DATE:
REQUESTED PAYMENT DATE:
ADMINISTRATIVE
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:
Vice President (If greater than 10% of base) Date
APPROVED BY:
President (If greater than 10% of base) Date
APPROVED BY:
Human Resources
APPROVED BY:
Budget Services Date
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Completed 8 March 2020

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