Summer Additional Compensation Form for Academic Year Faculty University of Massachusetts - Amherst The purpose of this form is to grant approval and authorize payment for additional compensation during the period between commencement and August 31 for faculty members who have academic year (9-month) appointments. Refer to the Additional Compensation Policy and guidelines on Division of Human Resources website. Submit the completed form to the Division of Human Resources. Calculation for additional compensation will be based on faculty members’ annual salary at the end of the spring semester. Section A: Employee Name __________________________________ Employee ID ________________ Faculty Title ___________________________ Home Dept. Name ______________________ Funding Dept. Name ______________________ Appointment Period _________ to _________ Annual Salary (FTE) _____________ AMOUNT Biweekly _______________ TOTAL _____________________ Funding: HR Acct Code ___________ Dept. ID ______________ Type of Funds: Fund _________ Project/Grant _________________ ________________________________ Principal Investigator Signature Federal/State Grant/Contract NSF –( limit 2 months ) Private Grant/Contract Other ____ ____ ____ ____ Is total summer additional compensation expected to exceed 2.5 months of annual salary from Federal and/or State sources? Yes _______ No ________ If yes, then the PI must follow the Summer Effort Waiver Procedures and complete the Academic Year Faculty Summer Salary Waiver Request Form available at http://www.umass.edu/research/forms/summer-salary-waiver-form . If total summer additional compensation is at 3 months of annual salary, by signing this form, you acknowledge and agree that you are not eligible for vacation time. Description of research services: _________________________________________________ Approved By (per or initialed signatures not accepted): _____________________________ Department Head/Director _________ Date __________________________ __________ Dean/Vice-Chancellor Date Prepared By _____________________________ Phone __________ Date __________ Name Section B: To be completed by the Home Department (if different than funding department) ___________________________ Department Head/Director _________ Date ________________________ __________ Dean/Vice-Chancellor Date Section C Approved by Human Resources and Controller’s Office HRS Use Only: Controller’s Office: Act Code ____________ Amount_______________ Date _______ Approved By ___________________ University of Massachusetts – Amherst – Additional Faculty Compensation Guidelines Conditions and Requirements: Faculty members of the University of Massachusetts may receive additional compensation under the following circumstances and conditions. Any activities undertaken for additional compensation may not interfere with faculty member’s satisfactory disposition of his or her regular assignments and responsibilities. The period of performance listed for the additional compensation during the summer period must coincide with the time period of work performed. Faculty may engage in as much extra for additional compensation as is consistent with maintaining a satisfactory disposition of their obligations to the University, as defined and monitored by the department chair and the dean of the school/college. It is the responsibility of the department chair and the dean to ensure that faculty meet their regular obligations to the institution. Additional compensation funded from federal-funded research must be consistent with federal rules and regulations and is limited to 2.5 months of annual base salary. NSF research is limited to 2 months of faculty member’s annual base salary. Faculty may receive additional compensation in excess of these limits for privately-funded research at rates negotiated and budgeted with the research sponsor, if they don’t receive compensation from federal or state funds in the calendar year (attach budget page from private award). Approval of the Provost, with concurrence of the Chancellor, is required. Faculty member must receive approval for a wavier of the 2.5 month limit on federal and state sponsored projects before they can receive compensation beyond the 2.5 month limit. The approved wavier form must be attached to the Additional Compensation Form. See Academic Year Faculty Summer Salary Waiver Request Form at http://www.umass.edu/research/forms/summersalary-waiver-form. Rates of pay for teaching or related services (such as course development) are established by the unit sponsoring the programs with the approval of the Chancellor or President (as appropriate). No faculty member may accept additional duties or additional compensation that would bring him or her into conflict with Chapter 268A of the General Laws and ethics statute. Written approval of the department chair and the dean are required before a faculty member may engage in any activity for additional compensation. The Additional Compensation Form for faculty must be completed and signed by the department that is funding the additional service provided by the faculty member. The signatures of the Principal Investigator’s supervisor (not less than the Department Chair) are required when applicable. The faculty member’s home department reviews the request and fills out Section B of the form. Once the form has been completed and approved by all parties, it should be submitted to Human Resources. Revised July 18, 2011