Payroll Overpayment Form

Select the PRIMARY reason for the overpayment.

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Check this box if the overpayment crossed more than one of the above categories and please list the additional categories in the Submitter Comments box below.

How many pay periods/positions are involved in the overpayment?*

Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
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Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
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Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
Caret IconCaret symbol

Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
Caret IconCaret symbol

Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
Caret IconCaret symbol

Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
Caret IconCaret symbol

Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
Caret IconCaret symbol

Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
Caret IconCaret symbol

Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
Caret IconCaret symbol

Enter this value as "P12345678"

Please use the 4 digit numeric org associated with this payment

Select or enter value
Caret IconCaret symbol