Important reminders:

 Off-cycle checks should be avoided, as they are very labor intensive to process.

 There are separate forms for requesting corrections for biweekly and semimonthly employees. Please ensure that you are using the correct form, as different data is required.

 Employee Data

PeopleSoft Employee ID Number
An employee must be assigned a PeopleSoft Employee ID number before Payroll can process an on- or off-cycle request. This number is automatically assigned when UPAF is processed. The number appears on interim pay reports and in PEDL.

Name
The employee's name, as indicated in PeopleSoft and PEDL.

Job Record
The job record number that should be associated with this payment. This field is very important for employees with multiple jobs. The job record number appears on the "Employee Lookup" tab in PEDL.

Company
This will be either "Endowed," "Contract College," "Extension," or "Puerto Rico," as indicated on the "Position Data" tab in PEDL).

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 Payroll Information

Earnings Dates
The specific dates within the pay period for which employee is to be paid. This may be less than or equal to pay-period involved.

Note: The biweekly and semimonthly forms require different information.

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 Reason For Request

Please choose one of the options listed on the form. If none of the options apply, "Special Request" should be marked.

Note: This form should not be completed to replace lost, stolen, or damaged checks. In such cases, the payee must contact the Payroll Office directly at 607-255-5194.

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 Payment Explanation

This area may be used to provide additional information that clarifies reason for request.

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 Accounting Data

Provide the account numbers to be charged for the request. If the payment is to be charged to various accounts, designate a gross amount for each account. The total of the gross amounts requested must equal the total amount of the check request. Attach additional sheets if necessary.

Example: Payment of $300.00 charged with a 70%/30% split to two accounts.
account number	%	gross amount
G0847014190	70	$210.00
G0847064190	30	$90.00
		Total:      $300.00

Caution: Under no circumstances will funds be distributed between Endowed and Contract College accounts. If the payee is a Contract College employee, ONLY Contract College account numbers will be accepted. If the payee is an Endowed employee, ONLY Endowed account numbers will be accepted.          

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 Administrative Data

Please note the name and phone number of the preparer. The preparer will be contacted if there are questions on the form and when the check is ready.

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 Attestation Statement

The form must be signed by the individual having direct knowledge of time worked.

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 Payment Authorization

The form must be signed by an individual with signature authority on the general ledger accounts listed in the "Accounting Data" section.

If the employee is authorizing payroll deductions to repay an "overpayment," the employee must sign the form.

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