University of Kentucky
Electrical & Computer Engineering
453 Anderson Tower, Lexington, Kentucky 40506
Today's Date:__________________________________
Action Requested
________ Hire Employee
________ Terminate Employee (reason)___________________________________________________________
________ Change of Payrate
________ Change in FTE (Maximum Biweekly Hours)
________ New account for payroll charges (all benefits including tuition must follow payroll charges)
________ Change of position
________ Other (explain)_______________________________________________________________
✔
Assignment State Date:____________________________End Date:______________________________
This area may be completed by student/employee.
Please check one of these regarding the hire:
Legal Name:___________________________________________
_________BS Student
UK ID:________________________________________________
_________MS Student
Social Security #:______________________________________ _________PhD Student
Date of Birth:__________________________________________
_________Other
Mailing Address: _____________________________________(#, street)
____________________________________________________(city,state,zip)
Phone #:________________________________________________________
Email Address:___________________________________________________
Biweekly Pay Rate (RA/TA only):_________________________Full or Half RA?: ______________________________
Hourly Payrate (Student Worker only):____________________Maximum hours per week:_____________________
Monthly Payrate (Post Docs only):_________________________
Account to be charged for payroll,benefits, tuition:______________________________________________________
Title of Account:______________________________ IF grant, provide end date:_____________________________
(Hiring professor is required to pay RA Tuition. If paying from a Grant, it must be in active mid point in semester to accept tuition charges.)
If currently employed at UK, name of department and expected biweekly hours?____________________________ (Maximum employment for all jobs during fall/spring term is 20 hours per week.)
_________________________________________________________
(Signature of Professor or Hiring Official)
OES Application
Social Security Card
W‐4 Federal Tax Form
Direct Deposit Form + Voided Check
OES Background Check
I‐9
K‐4 Kentucky Tax Form
GSAS Form for Tuition Payment
Offer Letter
Local/City Tax Form (RA/TA)