FARMINGDALE STATE COLLEGE
STATE UNIVERSITY OF NEW YORK
UP-8 REQUEST FOR APPROVAL OF EXTRA SERVICE FOR UUP (BU-08) EMPLOYEES
INSTRUCTIONS: Part I of this form is to be completed by the employee and submitted to the employee's supervisor for
completion of the approval process prior to commencing extra service.
PART I: TO BE COMPLETED BY EMPLOYEE (Fill out completely in ink)
College
Name
Title
Address
Current Salary
basis to
I request approval to render extra service on a (p/t; f/t)
for the period
at
(Name of State Agency)
(location of employment)
for the purpose of
through
(brief description of work to be performed)
This extra
Total compensation for this additional work will not exceed $
service will not interfere with my normal obligations to the University.
(Signature of Employee)
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PART III: ACTION BY VICE PRESIDENT
PART II: ACTION BY SUPERVISOR
Disapproved
Approved
Disapproved
Approved
Approved with the followingApproved with the following
limitations:
limitations:
(Date)
(Signature of Supervisor)
(Signature of Dean or V. P.)
PART IV: ACTION BY CHIEF ADMINISTRATIVE OFFICER
DisapprovedApproved
Approved with the following limitations:
(Signature of Chief Administrative Officer)
Distribution:
Payroll Audit Unit, Dept. of Audit & Control
Employing Campus
6/07
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(Date)
(Date)
(Date)
Farmingdale State College
