PAYROLL HISTORY CHANGE FORM
This form is to be used by School Department Grant Managers to notify the City Auditor
Department of a Payroll charge to an incorrect Grant account.
Name of School Department Grant Manager
Grant Manager Phone Number
Grant Name
Grant ORG Code
E-mail:
Please complete the following information:
Incomplete forms will not be processed.
Employee Number
Employee Name
Check Number
Check Date
Payroll Date
Incorrect ORG that was charged
Incorrect OBJ that was charged
Correct ORG to be charged
Correct OBJ to be charged
Paula, please see attached payroll distribution report for
journal adjustment backup.
Please call me with any questions.
Thank you for your assistance.
Completed form should be sent to Paula Wyner
7/17/2016