Instructions for Salarysupplement/Timeand Effort Report (Rev 10/12)

Instructions for SalarySupplement/Timeand Effort Report (rev 10/12)

Thisformis theagreementandpaymentformforanysupplementalworkforfaculty,staff, administratorsandstudents.

Ifan MSU Denveremployeeisbeingpaidforworkoutsideofthenormalduties,completePART1 ofthisformBEFOREanyoftheoutsideworktakesplace.

Part1:

Includeyour900#,positionnumber(if applicable),location,phonenumberandcampusboxnumber. Pleaseselecttheroleofpersonreceivingthesupplement:faculty,administrator,classified,student.

PaymentType–

One‐Time:Ifthedutiesareassignedwitha perhourrateorforaspecifictask,check“one‐time”and completea timeandeffortreportatthetimeofpayment.Pleasenote:if thesupplementisfundedbya grant,a timeandeffortreportmustbedonebeforeeachpaymentisauthorized.

Monthly:Iftheemployeeisbeingpaidforongoingdutiesonamonthlybasis(i.e.,servingonaspecial committee,specialyear‐longassignmentbyasupervisor,teachingregularcoursesatMetroNorthor South,etc.),pleasecheck“monthly.”Pleasenote:if thesupplementisfundedbyagrant,atimeand effortreportmustbedonebeforeeachpaymentisauthorized.

Projectanddatesthatprojectwillbeperformed:Pleasebeclearanddetailed.Theformwill accommodateasmuchinformationasyoucanprovide.

Estimatedhoursand/orpaymentamountexpected:If thisisashort‐term,hourlyproject,please includethenumberofhoursthatwillbespentcompletingthetask(s).Includethehourlyrateofpay expectedANDatotalamountofthissupplement.

Signatures:TheemployeeMUSTsignthisagreementformandobtainsignaturesfromeveryone indicatedon theform(asapplicable)BEFOREanyworkisdone.Onceeverysignatureisacquired,the originalagreementwillbe sentbacktothepersonindicatedontheform.WhenPart2issubmittedfor payment,theoriginalagreementmustbeattached.

FOAP:IdentifythefullFOAPwherethesupplementwillbecharged.

Part2:

Ifpaymenttypeis“One‐TimeorGrant‐Funded,”a timeandeffortreportmustbecompletedevery monththatpaymentisexpected.If“Monthly,”completepart2 andindicatewhichmonthspayments aretobemadeandtheamountofpayment. This form must be received by Human Resources (with all approved signatures) 15 business days prior to the normally scheduled payroll date according to employment type.

Part3:

TheEmployeeandSupervisormustcertifythatworkhasbeencompletedandforwardthisformto

HumanResourcesfortheirapprovalandpayment.