Labor Distribution Change Request Form

Requestor Full Name*

Requestor Email*

Request Key Words

3-4 Key words to help you search for this request once submitted using (ctrl+F)

Partner Unit*

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Division*

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Department

Type your department below or scroll through the dropdown list. Departments are alphabetical by Unit.

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Employee Full Name*

Employee 95#*

Employee position number

Position Suffix

If multiple jobs within a position, this identifies which job. Such as 00, 01, 02

Does payroll labor distribution need to be adjusted in prior periods?*

Yes

Pay Period/Month of redistribution*

Current labor distribution Index/Activity Code*

New labor distribution Index/Activity Code

Would you like to use this redistribution for future payroll?

Yes

Dollar amount or percentage of redistribution*

Start Date

Additional Information

Provide any additional information regarding this request

File Upload

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