ADDITIONAL PAY FORM FOR ADDITIONAL WORK

This form should be used for additional work performed outside the scope of a regular, exempt, monthly-paid staff member's current role, and outside normal working hours. Most frequently used for work outside one's home department. If work does not fit this definition, please contact your Sr. HR Manager or Generalist. For additional compensation for a biweekly employee, please use the Princeton Time Collection System.

Employee Name: __________________________________________________________________________

Work Begin Date: _____________________

Empl ID: _____________ Position #:____________ Dept #: _______ Department: _______________________

Business Unit:

Work End Date: _________________________

Pay Period End Date: ______________(required)

1st Account 2nd Account Complete only if you are charging to more than one account

Monthly Payment to Charge: $_____________ Monthly Payment to Charge $______________

Department Number to Charge: ____________ Department Number to Charge: ____________

Fund: ____________________ Fund: ___________

Program: _________ Program: _________

Site: ___________ Site: ____________

PC Business Unit: ________________ PC Business Unit: _______________

Project: ________________ Project: ________________

Activity: __________ Activity: __________

Description of Work: __________________________________________________________________________

___________________________________ Authorized Department Signature Date

___________________________________Print Name

SECTION I. EMPLOYEE INFORMATION

SECTION II. PAYMENT/CHARTSTRING INFORMATION

Upon completion, submit to the the Office of Human Resources as follows: Main Campus HR – submit to HRIS@princeton.edu

PPPL Human Resources – submit to your designated HR Representative

1/2019

Last Name First Name MI

MM/DD/YY

I certify that this payment has gone through the appropriate approval process.