Rutgers University Concurrent Legacy Rutgers/UMDNJ Out-of-Title Additional Assignment
To be used only for employees with:
 A Legacy Rutgers Primary Position Requesting Additional Work in a Legacy UMDNJ Department or
 A Legacy UMDNJ Primary Position Requesting Additional Work in a Legacy Rutgers Department
Department requesting the out-of-title / additional assignment:
 Please provide the following information in sections 1 through 5 and attach the appointment letter, out-of-title form or
whatever documentation you have.
 Please obtain needed information for section 5 from the employee, the Office of Faculty Affairs (for legacy UMDNJ faculty
requests), the University Human Resources (UHR) Human Capital Management Unit Manager, or the UHR Data
Administration Supervisor, as appropriate.
 Once complete, please email this information to dualassign@hr.rutgers.edu for review and confirmation that the additional
assignment can move forward.
 Please do not have the employee begin work until the request has been authorized by central UHR.
SECTION 1 – All Information is Required
Employee’s Full Name
Employee’s A- number
Employee’s Emplid
Employee’s Home Address
Employee’s Email
Employee’s Home Phone Number
SECTION 2 - Out-of -Title Request Department and Work Information (Enter all information as indicated)
Out-of-title/additional appointment department name
Out-of-title/additional appointment department id (for
legacy Rutgers Requesting Departments)
Out-of-title/additional appointment Z-org (for legacy
UMDNJ Requesting Departments)
Out-of-title/additional appointment hours worked by the
employee in one 7-day work week
Out-of-title/additional appointment FTE of the employee
based on hours worked and standard hours for the
position (only if known)
Date work begins
Date work ends
Days of week work is completed
Hour of the day work begins
Hour of the day work ends
Campus location
If teaching a class, please provide:
 class title,
 course number, and
 credit-hours.
If performing other work, please provide description of
the work.
Compensation amount to be paid to the employee during
the period the work is to be performed. Enter one only:
 The lump sum payment(s) for employees who
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Rutgers University Concurrent Legacy Rutgers/UMDNJ Out-of-Title Additional Assignment
have exempt primary jobs or
The hourly rate for employees who have
overtime eligible (non-exempt) primary jobs
For legacy UMDNJ Requesting Departments enter
accounting information to charge out-of-title request
work, if approved:
 Banner org/index and
 account number
For legacy Rutgers Requesting Departments enter
accounting information to charge out-of-title request
work, if approved:
 PeopleSoft Account number and
 Department Activity numbers 1 and 2
Please provide the requesting department’s hiring
authority’s:
 Name, Work email, and Work phone number
Please provide the requesting department’s budget
authorizer’s:
 Name, Work email, and Work phone number
If the requested out-of-title work for this employee was
classified in the past, please enter out-of-title/additional
appointment classification:
 Job title
 Job code (legacy Rutgers)
 Job class (legacy Rutgers)
 E-class (legacy UMDNJ ecls)

Section 3 - To be provided by the Legacy UMDNJ Requesting Department’s HR Generalist
Enter the name of HR Generalist completing this section
Enter “Yes or No” below
Are a license, certification, and/or degree required?
 If “Yes”, does employee have the required license, certification,
and/or degree?
Is a background check required?
 If “Yes”, has a successful background check been completed?
Section 4 - For Academic Requests of legacy UMDNJ Faculty Additional Assignments Only
Requesting Academic Affairs Officer Name
_________________________________________________________________
Signature _________________________________________________________
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Date________________________
Rutgers University Concurrent Legacy Rutgers/UMDNJ Out-of-Title Additional Assignment
SECTION 5 - Current Primary Department Information
(Please work with the employee to enter information)
Employee’s current department name
Employee’s current department id (legacy Rutgers)
Employee’s current department Z-org (legacy UMDNJ)
Employee’s current job title
Employee’s current job code (legacy Rutgers)
Employee’s current job class (legacy Rutgers)
Employee’s current e-class (legacy UMDNJ ecls)
Current hours worked by the employee in one 7-day
work week
Current FTE of the employee based on hours worked
and standard hours for the position
Effective date of current appointment
End date of current appointment (if applicable)
Name of employee’s current supervisor
Section 6 - Current Primary Department Unit Confirmations
Please refer to University Policy 60.1.24, Primary Employment and Additional Assignments, to assist you with your
review of the request.
 Duties –are the duties for the additional work listed in section 3 above the same duties as
the employee’s primary assignment in your department?
 Schedule - is the primary assignment in your department normally scheduled and
performed or vacation taken during the days and hours listed in section 3 above?
 Other conflict - is there any other conflict that would prohibit the employee performing the
additional assignment listed in section 3 above?
Current Primary Department Authorizer Name__________________________________________________________
Signature _________________________________________________________

Date________________________
Section 7 - University Human Resources Authorization
Does this request comply with policy 60.1.24 and all other relevant university policies?
o If “No” provide explanation
o If “Yes” enter the payroll system where the additional assignment will be initially
paid (Primary Appointment’s payroll system).
o If “Yes” this additional assignment must be paid as (attach Bi-weekly Payment
Form):
 Hourly rate and hours for each date hours are worked (overtime eligible
work)
 One lump sum payment
UHR HCM/Data Admin Authorizer Name________________________________________________________
Signature___________________________________________________________
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Date______________________