Fillable WORK AUTHORIZATION REQUEST (County College of Morris)

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WORK AUTHORIZATION REQUEST (County College of Morris)

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U.S.A. forms for County College of Morris

BROWSE COUNTY COLLEGE OF MORRIS FORMS

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CCMWAR Rev05/2020
WORK AUTHORIZATION REQUEST
Work may not begin until Part 1 is approved
PART 1
F
ROM: Originator/Supervisor: __________________________________________________________
E
mployee: ____________________________________________CCM ID#_______________________
LEGAL NAME MUST BE USED
Current Status: ___FT ___PT ___Adjunct -credit ___Adjunct-non-credit ___Other (i.e.: coach, tutor, etc.)
A
ccount #: ___ ___ - ___ ___ ___ ___ ___ - ___ ___ ___ ___
S
ervices to be rendered: ______________________________________________________________
Anticipated Dates of Service: __________________________________________________________
T
he employee named above is authorized to work no more than _______ hours per week for a total of
______ hours during the dates of service noted above.
Hourly Rate: $_____________ Total Amount to be paid: $______________ at end of assignment.
RE
QUIRED AUTHORIZATIONS:
S
upervisor: _________________________________________ Date: ____________________________
Dean/VP: __________________________________________ Date: ____________________________
B
udget: ____________________________________________ Date: ____________________________
H
uman Resources: ___________________________________ Date: ___________________________
PAYMENT AUTHORIZATION
PART 2
S
ervice Completed: Pay this amount in the next pay period: $____________
OR
Partial Payment: Pay this amount in the next pay period: $____________ for _________ Hours
TOTAL Authorized Amount approved in PART 1 $______________
Total Paid (Prior & Current) to Date $______________
Balance of Assignment $______________
REQUIRED AUTHORIZATION:
Employee: _________________________________________ Date: ___________________________
Supervisor: _________________________________________ Date: ___________________________
Human Resources: ___________________________________ Date: ___________________________
TO PAYROLL: for payment in the next pay period____________ Date: ___________________________
CCMWAR Rev05/2020
WORK AUTHORIZATION REQUEST
Directions
PART 1 - complete part one prior to work starting
Originator: The person requesting the hiring of the employee to perform services. The
originator will receive the original form back once signed by all required authorizations.
Employee: Nicknames will NOT be accepted, the name of the employee as is shown
on their pay advice is to be used.
Current Status: Please check all positions that apply.
CCM ID # is required (Do not use social security numbers)
Account # is required
Services to be rendered: Include the specific job the employee is being hired for.
(IE: Teaching Excel; Shot Clock Operator; Trumpet Player for fall 20__ musical, etc.)
Anticipated Dates of Service: Include the start and end date of the assignment
Hourly Rate is required
Total amount to be paid is required
Authorizations: All signatures must be received PRIOR to the start of services
rendered.
PAYMENT AUTHORIZATION
Part 2 - complete part two for payment
Select either:
Service Completed
OR
Partial Payment
Include the amount due for partial payment for the specified hours as well as partial
payment information to keep track of approved amount.
Required Authorized: The Employee, Supervisor and Human Resources must sign
for payment to be made.
A copy of the time sheet or time and effort form signed by the employee AFTER work
has been completed MUST be included with this form.
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WORK AUTHORIZATION REQUEST (County College of Morris)

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Completed 20 September 2020

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