Dallas, The City That Works: Diverse, Vibrant, and Progressive
ACTION – Special Pay; EDUCATION INCENTIVE
/EFFECTIVE DATE
/EMPLOYEE NUMBER
Initiate / Change Existing / Calculation OnlyDept / Unit (Org) / Employee Name / Position # / Job Code
Base Rate
of Pay / OLD / NEW / Annual Hours / Grade / Step / Retirement Plan
DROP / DROS
PENB / PENS
INSTITUTIONS OF POSTSECONDARY EDUCATION - The Database of Accredited Postsecondary Institutions and Programs
Institution / Accreditation(use list on reverse) / Degree Earned / Date Degree Conferred / Credit Hours
1
2
3
4
5
6
7
8
All hours must be represented as Semester Hours. Convert Quarter Hours by multiplying the hours by .6667 / Total Credit Hours
Minimum Required Hours* / forty-five (-45) or sixty (-60) / -
Military Service Years / Total EIP Eligible Hours
SPECIAL PAY DATA
Pay / OLD / NEW / Pay / OLD / NEW / Pay / OLD / NEW
Aircraft Rescue / Arson Investigator Pay / Detective Assignment
EMS Paramedic Mat. / Education / Field Training
Fire Insp Cert / Fire Instructor / Firefighter Certification
Hazardous Materials / Interim Assignment / Language Skills Assign.
Lew Sterrett / Paramedic / Patrol Duty
Shift Assignment / TCLEOSE Certification / Uniform Service
Rotating Shift / EVEN / ODD / Urban Search & Rescue
ALT RATE / OLD / NEW
*Minimum Required Hours
Forty-five (45) Hours Police and Fire Uniform Employees
Sixty (60) Hours Fire Prevention Officer Ranks
Job Codes: 44201, 44202, 44203, 44005, 44014, 44015, 44016, 44025
Wed Day 1 / Thur-Day 2 / Fri-Day 3 / Sat-Day 4 / Sun-Day 5 / Mon-Day 6 / Tue-Day 7
Wed-Day 8 / Thur-Day 9 / Fri-Day 10 / Sat-Day 11 / Sun-Day 12 / Mon-Day 13 / Tue-Day 14
UNIFORM POLICE AND FIRE ONLY –
PENSION CALCULATIONS / Old Amount / Interim Amount / New Amount / Old Amount / Interim Amount / New Amount
PLAN B
8.5% of base salary + service incentive pay + education pay / PENB / PENS / Hours at New Rate
Hourly Computation
Hourly Amount
Payment Limit
DROP
6% of base salary + service incentive pay + education pay / DROP / DROS / Hours at New Rate
Hourly Computation
Hourly Amount
Payment Limit
Process / Signature / Date
EIP Calculations Completed by
Lawson Entries / PA52
PA20
PR14
HR Payroll Audit
HR Payroll Manager/Supervisor
Employee (upon availability)
Accrediting Body
Association of Biblical Higher Education, Commission on Accreditation AABC
Middle States Commission on Higher Education MSA
Northwest Commission on Colleges and Universities NASC, NWCCU
North Central Association of Colleges and Schools, The Higher Learning Commission NCA
New England Association of Schools and Colleges, Commission on Institutions of Higher Education NEASAC-CIHE
Southern Association of Colleges and Schools, Commission on Colleges SACS-CC
Western Association of Schools and Colleges, Accrediting Commission for Community and Junior Colleges WASC-Jr.
Western Association of Schools and Colleges, Accrediting Commission for Senior Colleges and Universities WASC-Sr.
PER-FRM-334 Rev.2 01/01/2016