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.
Contract #
*
Enter Contract Number
Employee and/or contract name
*
Enter Employee Full Name
$ to be paid
Enter Amount to be paid
Responsible Supervisor
*
File Attachments
Pay Period Ending
*
Payroll Calendar can be found at
http://www.hcc.edu/Documents/About/Human%20Resources/Pay%20Calendar%202017.pdf
By submitting this form, supervisor confirms the work has been completed
Certification
*
Submitted by
Date
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Email address
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