Texas A&M Forest Service – Form 500 Personnel/Budget Action
Date:
PIN:
Effective Date
Time Reporting
ADLOC
Position ADLOC
POSITION
Fiscal Year:
From
Position
Action
Title Code
Thru
Current
Recommend
--
Name
OCCUPANT
UIN
From PIN
Occupant
Action
To PIN
Current
--
Recommend
--
Office Mailing Address:
County:
Previous State Employment:
Yes
Percent
Effort
RATE
No
Pay
IND
Current
--
Recommend
--
SOURCE
Title
Code
Supervisor/Team Leader Name:
FTE Monthly or
Hourly Rate
Thru
PT
Salary
Action
FTE Annual
--
REQUESTED RECOMMENDATION
Period
Source
From
Phone #:
Acct
Eligible for Benefit Replacement
Pay:
Yes
No
Benefit Replacement Pay Included
in Salary:
Yes
No
Amount:
Extended Source Form attached
Sup Acct
Acct
Analysis
Obj
Class
Percent
Effort
Requirement
Acct
Sup Acct
Bud
Pool
---Comments:
Disposition of Lump Sum Leave
Vacation Leave Hours to be Paid:
Disposition of Sick Leave
Sick Leave Hours Donated to Pool:
Biweekly Employees FLSA Comp Time to be Paid:
Sick Leave Hours Remaining after Donation:
Eligible for Rehire:
Termination Reason Code:
Yes
No (provide supporting documentation to HR)
Preparer
Name:
Recommended By:
Date:
Signature
Date
Signature
Date
Reviewed by Division Business Administrator:
Initials
FIAD Administrative Approval:
Signature
Approved By:
Date
_______________________________________________________
Signature
Date
*PAYROLL OFFICE USE ONLY*
Budget Screen Entry
Email Preparer
People Screen Entry
Process Lump Sum
Timetraq Entry
Copy for New FY Budget
Revised 06/10/2015
Texas A&M Forest Service – Form 500 Personnel/Budget Action
Extended Source Form
Date:
SOURCE
Title
Code
PIN:
REQUESTED RECOMMENDATION
Period
Source
From
Thru
PT
Acct
Sup Acct
Acct
Analysis
Fiscal Year:
Obj
Class
----------------
Revised 06/10/2015
Percent
Effort
Requirement
Acct
Sup Acct
Bud
Pool