2016-2017 SALARY EXCEPTION REPORT

This form should be completed by all salaried staff that are reporting payroll exceptions and submitted by the Monday morning following the last day of the payroll period. If you have exceptions to report, complete a row for each exception. It is possible to have multiple exceptions for a single date. When finished entering exceptions, enter your name in the signature field and save the file. E-mail it to your supervisor for approval.

employee section

EMPLOYEE NAME: / DATE: /
SUPERVISOR NAME: / PAYROLL PERIOD:

PAY PERIOD EXCEPTIONS

DATE / EXCEPTION TYPE / #HOURS / DESCRIPTION
MM/DD/YYYY / Emergency Sick Leave / 4 / Care for ill spouse
By typing my name in the signature field below and clicking submit, I attest that the information provided on this form accurately reflects my activity this pay period:
EMPLOYEE SIGNATURE:

SUPERVISOR SECTION

By typing my name in the signature field below and clicking submit, I confirm that I have reviewed and approve of the exceptions reported for this pay period:
SUPERVISOR SIGNATURE:
EXCEPTION TYPE INFORMATION / BUSINESS OFFICE USE ONLY
PERSONAL LEAVE / Draws from Personal Leave account (faculty) / Payroll Summary
VACATION / Draws from Vacation account (non-faculty) / Cost Ctr / Acc Code / Description / Code / Rate / Hours
SICK LEAVE / Draws from Sick Leave account
EMERGENCY SICK LEAVE / Draws from Sick Leave account
ESYS/IFSP – RC / No change in pay or leave accounts –Tracks hourly fulfillment of Mandatory RC ESYS
ESYS/IFSP – Add’l / Results in additional hourly-equivalent pay
FUNERAL LEAVE / Draws from Sick Leave account
PALL BEARER LEAVE / Draws from Sick Leave account
ABSENT WITHOUT PAY / Results in reduction in pay
JURY DUTY / No change in Pay or Leave accounts
WORKER’S COMPENSATION / No change in Pay or Leave accounts
OTHER / Change to Pay or Leave account based on explanation
of exception

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