PAYROLL PAYMENT REQUEST
Supervisors are required to complete, approved, and submit "Payroll Payment Request" to the Payroll Department before payment can be paid to the employee. Complete and submit prior to the payroll deadline in order for the employee to
receive payment for that pay period.
Enter Contract Number
Employee and/or contract name
Enter Employee Full Name
$ to be paid
Enter Amount to be paid
Pay Period Ending
Payroll Calendar can be found at
By submitting this form, supervisor confirms the work has been completed
Send me a copy of my responses
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