ࡱ> Y BbjbjPP 822i2i9hhhhh|||8h |)tt(f)h)h)h)h)h)h)$+G.)h?"?"?")hh4)%%%?"hhf)%?"f)%%'( >S#'R))0)',.$j.((.h(T ^% L A))!%p)?"?"?"?".X .: Header Information FieldDescriptionEmployee nameEnter full name- do not use initialsEmpl ID/Rcd#/PaygroupEnter 6-digit employee identification number AND the employee RECORD number- most employees are record #0 but those with concurrent jobs have a record #1 AND the paygroup- can be found in the Payroll tab under the Job Data PageDept NameEnter the department name- may be abbreviatedDept IDEnter the numeric department codePay Period ProcessedEnter the pay period number for which this is being submitted in the format FY-PP where FY= Fiscal Year and PP= Pay Period- Ex. 06-01Dates of ServiceEnter the exact dates of the period in which the submitted amount was earned- not applicable for leave payout and leave adjustment. Payments cannot be made prior to the dates of service. Payroll ContactEnter person to call if there is a question about this formContact PhoneEnter the phone number where the above person can be reachedEmpl ClassThe Empl Class can be found in the Job Informationl tab under the Job Data Page Explanation of types of Compensation/Adjustments- check appropriate boxes on form: Supplemental Compensation (Faculty & Post Docs only) Payment of additional compensation may be made to Regular Faculty employees for services that arise infrequently and are not within the scope of the employees normal working assignment. The employee is not released from customary duties or his/her regular work schedule in order to have time to perform the additional responsibilities. A Supplemental Compensation Request for Faculty must be approved and attached to the Payroll Adjustment Form. Amounts only Increased Responsibilities and Supplemental Compensation (Regular & Contingent II Exempt Staff only)Increased Responsibilities and supplemental compensation may be paid to regular or Contingent II Exempt staff in very limited cases. Preapproval is required. An Increased Responsibilities and Supplemental Compensation Request for Exempt Regular and Contingent II Staff must be approved and attached to the Payroll Adjustment Form. Amounts onlyContingent 1- Defined Payment Agreement OptionPay to a Contingent 1 Faculty or Exempt staff employee who works on a sporadic or short-term basis and paid for a specific task or project. A Defined Payment Agreement Option Form must be completed and approved that details what the employee is being paid for, the amount, and the schedule of payment must be attached. Agreements must cite specific amounts and specific dates of payment. Amounts only Leave PayoutThere are three types of leave payouts: Payout to a Regular employee (Exempt, Non-exempt or Faculty) in the same pay period as the last regular wages (benefits are taken out of combined amounts) Payout to a Regular employee (Exempt, Non-exempt or Faculty) in a pay period after the last regular wages (no benefits are taken out of payout) Payout to a Contingent 2 (contractual) employee for both terminations and contract expirations Hours and AmountsLeave Adjustment- TransferEmployees who transfer from other USM campuses or other State agencies may carry over their leave balances. The balances may be too large to enter in Time and Labor (more than 24 hours) but they can be entered centrally Hours only (does not affect pay)Leave Adjustment- CorrectionIf there is an adjustment greater than 24 hours that needs to be made to an employees accrual balance(s), it should be entered centrally. Hours only (does not affect pay)Prior Pay Period Adjustment- New Hires or Return from Short Work break (must be processed using the Prior Pay Period Adjustment Form)If an employee is hired or returns from a short work break in the eUMB system with an effective date prior to the end of the last pay period processed, the retroactive pay due to the employee must be manually calculated by the department Hours and amountsPrior Pay Period Adjustment- Timesheets that cannot be entered in T&L (must be processed using the Prior Pay Period Adjustment Form)If for any reason the Weekly Elapsed Time pages cannot be accessed for an employee so timesheet information cannot be entered by the department then the time must be submitted on this form Hours and amountsAccident PayAccident pay is paid at 2/3 the employees salary. The departments cannot adjust salaried employees pay. The hours for accident pay should be reflected on the timesheet and submitted as authorization for the adjustment Hours and amountsUnpaid LeaveThe departments cannot adjust salaried employees pay. The hours for unpaid leave should be reflected on the timesheet and submitted as authorization for the adjustment. All reductions of salaried employees pay must meet FLSA regulations. Hours and amountsPending Termination / FTE ReductionIf an employee has terminated or the FTE has been reduced but the Employee Action form was not submitted to the Human Resources Service Center in time to affect the current pay period, the wages may be reduced to prevent an overpayment from occurring Hours and amountsAwardBoard of Regent Award or Employee of the Month/Year Award is allowed. The department must attach an authorizing memo with the Payroll Adjustment Form. Amounts onlyOtherAny other non-regular pay situation that is authorized within UMB guidelines Must contact FS-Payroll to determine which earnings code to use and which supporting documentation to submit Hours or amountsComments on back of form?If the payment is not documented by an attachment, auditable comments must be written to explain the adjustment Adjustment Information FieldDescriptionEarnings CodeChoose the earnings code that is applicable to the adjustment; appropriate codes are listed on the form- see page 5 for long description of each code listedHoursEnter hours in the format ####.##AmountEnter dollars in the format ######.##Combo CodeAmounts will be distributed to the combo codes cited on the employee funding profile- if the amount should be distributed differently, enter the account code here. If a single amount should be distributed over several account codes, use multiple lines to enter the amount and account code. If an account code is used on the PA form it will prevent the use of the Budget Retro process for making changes to the distribution. If future changes are necessary they must be entered via the Direct Retro process.Tax PeriodsAny additional pay that is above the employees normal bi-weekly pay may be taxed over multiple pay periods. The total wages paid to an employee during the pay period should be divided by the normal bi-weekly pay to determine the maximum tax periods allowed. Due to an employees tax circumstances, the department should discuss this with the employee. FS-Payroll will reduce the tax periods to the maximum allowed if a department should submit an inappropriate number. Note: If an employee has requested that additional tax amounts beyond the withholding allowances be withheld, the amounts will be multiplied by the tax periods.Signature of RequestorSignature of person for requesting the payroll adjustment-Digital signature is required for electronic submission. To get started, the requestor clicks Configure New Digital ID. The requestor enters the full name and a password. After that, requestor would select the digital signature, enter the password, the form will be stamped with the Digital Signature.Signature of Approving SupervisorSignature of person with fiscal responsibility for authorizing the payroll adjustment- Digital signature is required for electronic submission. To get started, the Approving Supervisor clicks Configure New Digital ID. The Approving Supervisor enters the full name and a password. After that, Approver would select the digital signature, enter the password, the form will be stamped with the Digital Signature.Printed Name/TitlePrinted name and title of person with fiscal responsibility for authorizing the payroll adjustmentFS-Payroll UseDo not enter information in this area Earnings Codes Earnings CodeDescriptionABRAward-BORACCAccident Pay - Under 6 monthsACEAccident Pay - Over 6 monthsACFAccident Pay- FacultyAEEAward-Employee of Mo/YrAFHAGO Furlough- HourlyAFSAGO Furlough- SalariedAPFAccident Pay FOPASBAsbestos PayBACBonus Special AccomplishmentBATBonus AttendanceBEABonus Employee AchievementBEEBonus Employee RecognitionBERBonus Employee ReferralBFTBonus FitnessBINBonus IncentiveBMRBusiness Meal ReimbursementBOTBonus One TimeBPYBonus PaymentBRTBonus RetentionBSABonus Spot AwardBSOBonus Sign-OnCALCall Back PayCARCar AllowanceCCSChild Care SupplementCEDContinuing EducationCGPChildCare Grant ProgramCNENRA Consulting w 30%CNHNRA Consulting w TreatyCOMCommittee SupplementCONProfessional ConsultingCOTCancellation of Overtime- FOPCPAContractual Payout AnnualCPHContractual Payout HolidayCPPClinical Practice PayCRTCourt Apperance Guarenteed HrsCTPComp Time Pay Earnings CodeDescriptionDFCDeferred COMP 457F PaymentDLVDenied LeaveDNLDonated LeaveDPADefined Pay AdministrativeDPCDefined Clinical PayDPIDefined Pay InstructionalDPRDefined Pay ResearchDTHDaily Time n Half UPODVADeliverable Pay AdministrativeDVCDeliverable Clinical PayDVIDeliverable Pay InstructionalDVRDeliverable Pay ResearchECHNRA Teacher HourlyECSNRA Teacher SalariedEEPEssential Employee PayEGHNRA Student HourlyEGSNRA Student SalariedEHAExecutive HousingEMPExempt Merit PayESHExtended Sick Leave HourlyESSExtended Sick Leave SalariedFAAFurlough Amount AccidentFAWFaculty Administrative WorkFCAForeign Cost of Living AllowFCEFICA Exempt- Foreign COLAFCLFOP Comp LeaveFDAForeign Danger AllowanceFEAFICA Exempt Annual PayoutFEDForeign Education AllowanceFEHFICA Exempt Holiday PayoutFEMFICA Exempt Miscellaneous PayFHAForeign Hardship AllowanceFHEFICA Exempt- Foreign HardshipFLDNRA Fellowship w TreatyFLFNRA Fellowship 14%FLINRA Fellowship 30% Non F/J Earnings CodeDescriptionFPAFinal Pay AnnualFPCFinal Pay Comp TimeFPHFinal Pay HolidayFPLFinal Pay LegalFPOFinal Payout Other AgencyFRAFurlough AmountFRHFurlough Hours Non-ExemptFRSFurlough Hours ExemptFSRFood Services ReimbursementFTOFOP Field Training OfficerFTTFOP Field Training OfficerGASGraduate Assistant StipendGEDNon-Exempt GED ProgramGLSGrant Lump SumGPBGross PaybackGSSGraduate Student StipendHAZHazard PayHLFHoliday Hourly FOPHLHHoliday HourlyHLSHoliday SalariedHNENRA Honoraria w 30%HNHNRA Honoraria w TreatyHONHonorariumHSAHousing AllowanceHSBBalt City FOP House AllowanceIPPIncentive Pay Plan.LPALast Pay AnnualLPCLast Pay Comp TimeLPHLast Pay HolidayLRHSick Leave Reserve HourlyLRSSick Leave Reserve Salaried Earnings CodeDescriptionMHPMajor Holiday Pay UPOMOVMoving and Relocation ExpensesMSENRA MISC with 30%MSHNRA MISC with TreatyNMPNon-exempt Misc. PayOFAAnnual Offset OverpaymentOFHHoliday Offset OverpaymentONCOn Call PayONFOn Call Pay- FOPOTFOther Earnings Hourly FOPOTHOther Earnings HourlyOTSOther Earnings SalariedOVTOvertimePCOPolice Correction OvertimePCRPolice Correction RegularPHFPersonal Hourly FOPPLHParental Leave HourlyPRFParking RefundPRHPersonal HourlyPRSPersonal SalariedPZJNRA Prizes w 30%PZKNRA Prizes w Treaty Earnings CodeDescriptionRABRetro AsbestosRACRetro Accident Pay-Under 6 mo.RAERetro Accident Pay-Over 6 mo.RAHRetro Advance Sick HourlyRASRetro Advanced Sick SalariedRBHRetro Parental HourlyRBSRetro Parental SalariedRCAUPO Uniform Replacemnt & CleanRCGRetro Court Guarenteed HoursRCTRetro Comp TimeRDHRetro Daily Time n HalfREHRetro Extended Sick HourlyRESRetro Extended Sick SalariedRGHRegular HourlyRGSRegular SalariedRHHRetro Holiday HourlyRHSRetro Holiday SalariedRLHRetro Leave Reserve HourlyRLJNRA Royalty with 30% TaxRLKNRA Prizes with TreatyRLSRetro Leave Reserve SalariedRMHRetro Major HolidayROHRetro Other Earnings HourlyROSRetro Other Earnings SalariedROTRetro OvertimeRPHRetro Personal HourlyRPSRetro Personal SalariedRRHRetro Regular HourlyRRRRetro Negative PayRRSRetro Regular SalariedRSHRetro Sick HourlyRSSRetro Sick SalariedRUHRegular Unscheduled HourlyRVHRetro Annual Leave HourlyRVSRetro Annual Leave SalariedRWHRetro Wage Reduction HourlyRWSRetro Wage Reduction SalariedRXHRetro Reg Unshed HourlyRYENRA Royalty without Tax TreatyRYHNRA Royalty with Tax Treaty Earnings CodeDescriptionS7TUPO Shift @ 1.5/hrSAFAdvanced Sick Leave FOPSAHAdvanced Sick Leave HourlySASAdvanced Sick Leave SalariedSCFSick Hourly FOPSCHSick HourlySCSSick SalariedSEASecondary Employment AffiliateSECSecondary JobSEJSecondary Job AdjunctSH1ShiftSH2Nurse Shift M-F EveningSH3Nurse Shift M-F NightSH4Nurse Shift Weekend DaySH5Nurse Shift Weekend EveningSH6Nurse Shift Weekend NightSH7UPO Shift @ 1.5/hrSP2Standardized Patient Tier2SP3Standardized Patient Tier3SP4Standardized Patient Tier4SP5Standardized Patient Tier5SPCSpecial Project PaySSASafety Shoes AllowanceSUMSummer StipendsSUPSupplemental PayTBSTransfer to Balance SheetTOVTeaching OverloadTRNTrainee StipendsTSPTaxable SupplementTTFForeign Travel TaxableTTIIn State Travel TaxableTTMDay Business Travel MealsTTOOut of State Travel TaxableTVFForeign TravelTVIIn State TravelTVOOut of State Travel Earnings CodeDescriptionUACUnpaid - Acc Leave GT 6 MonthsUALUnpaid- Administrative LeaveUDSUnpaid- DisciplinarySuspensionUFMUnpaid- FMLAULVUnpaid- Approved LeaveUMLUnpaid- Military Admin LeaveUSPUnpaid- Suspension Pend ChargeUSWUnpaid- Subpoenaed WitnessUUAUnpaid- Unauthorized AbsenceVCFVacation Hourly FOPVCHAnnual Leave HourlyVCSAnnual Leave SalariedVSPVoluntary Separation ProgramWAATemp Salary Reduct Amt AccidntWRATemporary Salary Reduction AmtWRHTemp Salary Reduc Time Off NEXWRSTemp Salary Reduct TimeOff EXX01Postage & MailX02Cell Phone ExpendituresX03Mailing ServiceX04CS-Printing&Reproduction SvcsX05CS-Freight & DeliveryX06Books / 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