University of Connecticut University of UC Title Fallback Connecticut

Special Payroll Authorization Form Instructions/Definitions

All Fields on the Form Must Be Completed in Order to Process:

SOCIAL SECURITY NUMBER

Every authorization must have a valid social security number, if employee does not have a Social Security Number then they should apply for a number and submit a copy

EMPLOYEE NUMBER

Please complete if known

NAME

Please use employee’s legal name as it appears on the Social Security card

ADDRESS

The address (Street, City, & State, Zip Code) must be the employee’s current home mailing address and be consistent with the address listed on the employee’s W-4 form

HIRING DEPARTMENT/CONTACT PERSON

The individual who typed the authorization and knows of the work that is_to be performed

PHONE NUMBER

For the hiring department/contact person

NEW HIRE ON SPECIAL PAYROLL

An employee who has no previous or current work history on Special Payroll

CONTINUING ON SPECIAL PAYROLL

No break in service, continuing beyond previous end date

CURRENTLY FACULTY OR PROFESSIONAL

An employee who is currently working at UConn

TEMPORARY SERVICE IN A HIGHER CLASS (TSHC)

Must have approval from Human Resources for any classified employee who is working at a professional level

REHIRE WITH BREAK IN SERVICE

An employee who has a previous work history on Special Payroll

CHANGE TO PREVIOUS AUTHORIZATION

To make changes or corrections to a current Special Payroll Authorization such as:title, stipend, start or end date, course information and FRS Account

START DATE

Beginning of appointment

END DATE

End of appointment or coding period

FRS ACCOUNT

Employment is paid from the department account

ALLOTMENT

The amount to be paid from the FRS Account

PAYROLL TITLE

Please use the appropriate title; if employee has more than one title please sbumit a separate payroll authorization for each title

DEPARTMENT WORK NUMBER

This is the department where the work is being performed.  The five digit number with two letters following (assigned as a department code)

AFFILIATED DEPARTMENT NUMBER

If the funding is coming from other than the department where the work is being performed, enter the department code from the fund source here

UNIT/U-BOX

The University mail address, location of the work being performed

SEND CHECKS TO SECTION

Please list section number that you would like the checks to go to

GRATIS APPOINTMENT

No payment for work performed, established for status of individual for library privileges, etc

DUAL AGENCY NUMBER/NAME

If concurrently employed at another state agency; the agency number and/or name is required

COURSE

The 3-digit course number

SEC

The 2-digit section number

LOC

The location of the course being taught

DPT

The 4-letter abbreviation of the department

CR

The number of credits associated with the course and section

TCH/REC

Indicate Y (yes) or N (no) to signify whether or not the employee is the teacher of record (The teacher of record is the Special Payroll Lecturer who is listed in the Registrar’s records as the person responsible for the course.)

TM/TCH

Indicate Y (yes) or N (no) to signify whether or not the employee is team teaching

SEMESTER-F AlSP

Indicate which semester for teaching Fa (fall) or Sp (spring)

DUES

Except for Special Payroll Lecturers at the Law School, Graduate Assistants, and Uconn Graduate Students, Special Payroll Lecturers pay AAUP dues

PRIMARY OR REGULAR PAYMENT: P/R

Please circle either P for primary/subsidiary payment or R for regular payment(Primary will automatically produce a subsidiary every two weeks), (regular payment is paid by-weekly in equal amounts with the final payment being closes to the end date of the authorization)

% OF TIME

The percentage of time on Special Payroll for the work to be performed

% GRAD ASST

The percentage of Graduate Assistantship

STIPEND

The total dollar amount to be paid for the time period employed

UCONN GRADUATE STUDENT

Please circle Y (yes) or N (no)  (and employee who is currently a Uconn Graduate student)

RETIRED STATE EMPLOYEE

Please circle Y (yes) or N (no) (An employee who has retired from state service.  A retiree may  be employed for up to 120 days per calendar year and if teaching has a 12 credit limit per calendar year