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 *

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

No

Additional Information

Provide any additional information regarding this request

File Upload

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