JOB INFORMATION FORM
MONTHLY / SALARIED PAYMENTS: PAYMASTER (PMT)
INSTRUCTIONS: This form is used to initiate actions for employees appointed to jobs whose hours of work follow a regular schedule. Actions include: hires, rehires,
transfers, promotions, recalls, returns from leave/disability and all changes including pay, additional pay, benefit, account distribution and one time payments. To initiate a
termination, retirement, layoff, suspension or leave, use the Separation / Leaves JIF. Please send the signed original and required attachments (e.g. Personal
Information Form - PIF, Direct Deposit, TD1, Work permit, etc.) directly to Payroll.
Personal Information
Surname
First Name (Legal name)
Middle Name 1
Preferred Name (If different from first)
Job Information
Empl ID
NEW
ER
#
BR
Previous Incumbent in Job
Effective Dt (m/d/y)
Planned End Date ( term Jobs)
Action
HIRE / REHIRE
TRANSFER / PROM
RECALL
Reason
Hire (HIR)
Rehire (REH)
Transfer (XFR)
Promotion
(PRO)
Seasonal
Layoff (SEA)
Suspension
(SUS)
(Select one)
Company
LEAVE
EARN DIST
DISAB
Full Return (RFL) (RFD)
Part Return Leave (PRL)
Graduated Return Disab
(GRD)
PAYCHANGE
DATA CHG
Account Change (ERD)
Fte Change (FTE)
Fte Chg, Gradual Rtn Dis(GRD)
_____________
Extend
EndDt (EXT)
Benefits
(BEN)
Business Unit
Dept ID
Dept Name
Job Code
Job Title
Std Hrs/Wk
Max Hrs/ Wk
(Actual)
MNP
OTHER
Additional Pay
One Time Pay
___________
Incumbent Status / Job Status
PMTOS (Paymaster Out of Scope)
PMT
Pay Group
RTN :
Benefit Pkg
35.00
37.50
36.00
38.00
Monthly Rate
36.25
40.00
FTE
(std/max)
SEASONAL
None
Yes: see below
Specify:(i.e. M-F, MWF)
If Change,
(If FTE<1.0)
Old Rate
Earn
If Change: OLD Account
C Fund (6)
Orgn (4) Acct (5) Prg (4)
2
100
2
2
100
2
Prg (4)
Acty (5)
Percent
TERM
Work Schedule:
Prorated Monthly Rate
(1.0 FTE)
Job Earnings Distribution
C Fund (6)
Orgn (4) Acct (5)
PERMANENT
PMTIN (Paymaster In Scope)
Ongoing Additional Pay (Type: stipends, supplements, differentials, etc… Enter End Date if known).
Earnings Type
C Fund (6)
Earn Effective Dt Sq End Date
Actual / Month Reason etc.
Acty (5)
Percent
Orgn (4) Acct (5) Prg (4) Acty (5)
2
2
Benefits: YES - Univ/Non Univ – Select plans. Contact the Benefit Office for more information. Note: Dental & Life plans have a 3 month waiting period.
10 Ext Health OPEH F1, F2, S1
20 Life BASGLF, X
Fam-Er
Fam-Shared
Life 80 Pension – MPRCHA, B, C, D
Single-Er 11 Dental OPDN F1, F2, S1
5%
6.82%
CEP
Fam–Er
Fam-Shared
IATSE 8Z Disability – SALCNB, C
1.8%
Single-Er
1.88%
Remarks / One Time Payments (Note: To report OT, Extra Hours and other One Time Payments for hours worked, use the Hourly Payments JIF).
Authorization:
Date
Prepared by / For Information Contact (Please print)
Do not write below this line
Payroll
Processed
Dt Processed
By
Phone
Authorized
By
Authorized Signature *DO NOT USE BLACK INK*
Pay
Dt
Date Received:
Revised 02/01/2005