MCC Labor Distribution Request

PHAREDS / ePafs

Requestor's Email

Employee Name*

V#*

Payroll #'s to be adjusted

Select

Is this a change for future payroll expenditures?*

Select or enter value

Start Date

End Date (N/A if permanent change)

Current Index/Account

New Index/Account*

Current $ or % per Index

New $ or % per Index*

FA

Select or enter value

Additional Details/Notes

Supporting Documentation

Drag and drop files here or

Send me a copy of my responses

Powered by