Department of Human Resources 10900 Euclid Avenue Cleveland, Ohio 44106 !04!

additional pa1 re:uest

(ncum)ent *ame Empl (D

phone "16#$6%#6964 fa& "16#$6%#46!% '''#case#edu

For those with visa status, the terms of the visa may not permit a change, or may require government approval before the change may be made. Please check one of the following: +1,O-., / 1, H 10, O 1, .*, Other, *ot applica)le# Emplo1ee2s current supervisor Emplo1ee2s current department Proposed project (please be as specific as possible

-ro3ect )e4in date Project duties

End date

-roposed compensation due emplo1ee for 'or5 performed

per pa1 period

Additional pro3ect 'or5 'ill not interfere 'ith normal 'or5 schedule# Project Department Department *ame 7upervisor *ame Contact *ame 8must have )ud4et authorit19 Contact Email .itle Dept (D

-hone ;4mt Ctr approval For Human Resources Use Approve r !omments Date Amount 6 Date

Additional Pay Request Procedure 1# .he department must su)mit an additional pro3ect 8interim assi4nment9 re:uest to Human Resources 8Cra'ford Hall, Room $04, <C= !04!9 for approval prior to the scheduled 'or5 8assi4nment9# .he re:uest should include the emplo1ee2s name, current supervisor and department, the proposed pro3ect and duties, pro3ect mana4er and proposed pa1ment amount# "# Human Resources 8HR9 'ill revie' the pro3ect 8assi4nment9 and appropriate pa1 methods 'ithin the federal 'a4e and hour la'# HR 'ill 'or5 'ith the department to esta)lish an approved pa1ment plan# .he documentation 'ill )e placed in the emplo1ee2s personnel file# $# (t is the emplo1ee2s responsi)ilit1 to discuss the additional 'or5 'ith the current supervisor and ensure that it does not interfere 'ith their re4ular, primar1 3o)# 4# .he emplo1ee ma1 )e4in 'or5 once the approvals and consent are confirmed in HR# ># .he department 'ill enter a pa1ment re:uest into the HC; s1stem per the approved pa1ment plan# 6# +rom the HC; pa1ment re:uest, HR 'ill revie' the emplo1ee2s personnel file to verif1 and approve the pa1ment#