ADDITIONAL COMPENSATION REQUEST FORM
Department
Employee Name
Job Title
Budget Code
Account Classification
Supervisor Name
Type of Additional Compensation:
Special Project: attach memo outlining the special project, duration, and expectations.
Acting Appointment: attach copy of the appointment letter to the temporary assignment.
Bonus: attach memo justifying the performance based bonus.
Honoraria: attach memo justifying the non-academic honoraria payment. An honoraria is considered a gesture
of good will and appreciation to an employee for a service for which payment is not required. The amount is not
negotiated, and does not involve a contract or invoice. It is not for on-going services.
Base-Building: attach memo justifying a mid-year base building salary adjustment.
Identify the Funding Source:
Budget Code
Pos. # (if applicable)
Restricted Acct. #
Acct. Code
Funding Amount
Originator Signature
Request Date
Vice President Signature
Request Date
Human Resources Signature
Reviewed Date
EVP Signature
Approval Date
If approved, EVP will return form to HR to finalize processing with area VP Budget Officer. A copy will be sent to the
University Budget Office.