University of Richmond

Approvals - As required by your division or department

HR/Payroll Use Only

UR ID UR ID

Last

11.5.15 gwescott

Employee Information

Date

Date

Date

First

Preparer

Approver or PI (Grants)

Grants Accounting Manager

Dean

Provost or AVP

Date

Date

Date

Human Resources

One Time Payment PAF Monthly Payroll

Full-Time Faculty or Full-Time Staff

Payroll Information

Position # Payment Reason

Start Pay Effective Date End Pay Effective DateThis is the beginning date of the pay period. This is the end date of the pay period.

If you are paying an adjunct or part-time faculty or part-time staff, use the One-Time Payment PAF Monthly Payroll Adjunct Faculty/Part-Time Faculty or Part-Time Staff instead of this form.

Amount to be Paid

Labor DistributionFund Org Acct Index %

Comme nts

Suffix