Request for Approval of Extra Service for M/c employee




Yüklə 33.79 Kb.
tarix16.04.2016
ölçüsü33.79 Kb.

State University of New York

University-Wide Human Resources

Albany, New York 12246
UP-6 (Rev. 12/14)

UP-6 Request for Approval of Extra Service for M/C Employee

C2063-187



INSTRUCTIONS: Part I of this form is to be completed by the employee in an original plus three copies and submitted to the campus's Chief Administrative Officer for approval prior to commencing extra service. Two copies are then forwarded to the Director, University-Wide Human Resources in System Administration. The campus will retain one copy for its records. After approval is obtained from System Administration, a copy of the UP-6 will be sent directly to the Office of the State Comptroller with a copy back to the campus. The campus processing the approved appointment may then effect payment in accordance with the rules for extra service (upon receipt of vouchers) or concurrent appointment.




I. To Be Completed by Employee




Name

      SUNY ID:      

Campus/Agency

     







Address

     

Title

     







Email Address      

Current Salary

     






I request approval to render extra service on a  part-time  full-time basis to:

Agency:

     




At: (location of employment)

     

For the period from:



     

Through:

     




Describe purpose of work:

     




Choose

One:

 Total compensation for this additional work will not exceed:
 Total compensation for this additional work:

     
     








This extra service will not interfere with my normal obligations to the University.



     







(date)







Signature of Requesting Employee






II. Action by Chief Administrative Officer



Approved




Disapproved







Approved with the following limitations:

     

























     






(date)






Signature Chief Administrative Officer/Designee







III. Action by System Administration



Approved




Disapproved







Approved with the following limitations:

     





































Office of the Chancellor







     

by




(date)







Signature Director, University-Wide Human Resources/Designee



Distribution



Chief Administrative Officer Employee Copy System Administration (2 copies)


Verilənlər bazası müəlliflik hüququ ilə müdafiə olunur ©azrefs.org 2016
rəhbərliyinə müraciət

    Ana səhifə