Classified Staff Pay Authorization

Temporary Assumption of Higher Level Duties

Department To Fill In Below

Name		 W
ID#

Department		 -
Position No./Suffix

Higher Level Classification
T/S orgn
       $ / 174 = $ per hour
Range                       Split                          Monthly salary

Current Level Classification
       $ / 174 = $ per hour
Range                       Split                          Monthly salary

Difference =  $ per hour
(higher level rate minus current level rate)

Justification for higher level duties
(Person replaced / Other)

Date
Hours
Date
Hours
Date
Hours

Date
Hours
Date
Hours
Date
Hours

Date
Hours
Date
Hours
Date
Hours

Date
Hours
Date
Hours
Date
Hours
If funding is different from current position, indicate below:

 Fast Index
Fund
Orgn
  Acct
Prog
Actv
Locn

Supervisor __________________________________________ Date____________

Director/Department Head ______________________________ Date____________

Human Resources to fill in shaded area below

PAYROLL DATA ENTRY

Check if funding is different from current position

HDL Total Hours:   at $per hour.

Human Resources _____________________________

Date_____________________