I'm submitting this request on behalf of someone.
*Submitted for:
Cc:
If more than one email address, separate them by commas
*Requestor First Name:
*Requestor Last Name:
*Requestor E-Mail:
*Confirm E-Mail:
*Request Type:
*Department:
*Office:
*Contract Monitor:
*Travel Type: In State Out of State Other
*Travel Duration: Same Day Overnight Multiple Day
*Additional Info:
Please provide any travel information that you need assistance with. Ex. Planning/Booking
*Payroll action:
*Other Payroll Type:
*Employee first name:First name:
*Employee last name:Last name:
*Email address:
Where are payroll expenses currently charged?
Where were payroll expenses charged?
*Department:
*Chart String:
*New hourly rate:
*Hourly rate:
 

The standard hourly rate for undergraduate student workers is $9.25 - $18.00.

Graduate student workers (not with the title of Graduate Assistant) may be paid up to $22.00.

*Appointment type:
Employee will work less than 20 hours per week for a term of one year or less.

Temporary: Employee will work 20 or more hours per week for a term of six months or less.
*Start Date:
*End Date:
Error in ending date
*Last day of work
*Hours Per Week:
Error in hours per week
*Does this position have financial responsibilities
(ie. P-card, Payroll,Cash handling)?
*New Primary timesheet approver:
*New Secondary timesheet approver:
(Enter a name or 'None')
*Is the employee already
on the UMBC payroll?
*Effective date of change
*Will this journal entry
impact a sponsored project?:
Alert: Requires a written memo explanation, signed by the Vice President or Dean, as to why the cost transfer is necessary. If an error, please provide a full explanation how this error occurred. If more than 90 days from the original charge date, please explain why the error was not discovered and corrected within the required 90 day time frame.
*Other Request Type:
Where should payroll expenses be charged in the future?
Where were the expenses supposed to be charged?
*Department:
*Chart String:
*When should this change start? (Either choose a date or enter a time period in the comments section, for ex. 'Move to Project XXX as of the beginning of the Fall semester)
*When should this adjustment start? (Either choose a date or enter a time period in the comments section, for ex. 'Move to Project XXX as of the beginning of the Fall semester)
*Are changes needed for the renewal contract?
Alert: The Business Services Center will contact you for details.
  Please include an attachment with the following information:

Summary of Duties,
Education/Experience/Special Skills required,
Candidate's resume (we can contact the individual directly to get this if needed)
  Please attach the approval Personnel Requisition form with appropriate signatures
  Please attach the fully signed appointment letter and health insurance and tuition remission forms
  Please attach the Summer request form
  Please attach the fully signed contract
*Purchasing action:
*Is purchase pcard eligible?:
*Does vendor accept PCard?:
Alert: Cannot use this form. See your departmental PCard holder.
*Is this a sole source?:
Message: Please submit a sole source justification as an attachment (below).
*Other Purchasing action:
*Purchase Type:
*ETravel Doc ID:
*AP action:
*Other AP action:
*Approver Name:
*Chart String:
*Account Number:
*Vendor Name:
*Check In Date:
*Check Out Date:
Vendor Website/Phone#:
Tax id:
Total Amount: 
  Item Name Item # Price per item Quantity Line Total
   ETravel:  This is a request to submit an e-travel for out of state or in state overnight travel
*Traveler's Name:
*Phone:
*Email:
*Is Employee?
*Airline/Train Ticket Cost:
*Reimburseable Costs:
*Airline/Train Name:
*Dates: Depart:  Arrival: 
*Departure:
*Destination:
*Purpose of Travel:
   Conference Registration
*Conference Name:
*Dates: Begin:  End: 
*Member?
*Conference Name:
   Credit Card Authorization
*Hotel Name:
*Name on Reservation:
*Confirmation #:
*Dates of stay: Depart:  Arrival: 
*Dean's Travel?
   Other
*Phone:
*Description:

Please complete the following expense statement after returning from travel and submit original with PI's signature in Depart. Head Approval Location - Expense Statement Form".

*Other Request Type:
NOTE: All expense statements must be submitted within 8 days of travel, failure to do so may result in non-reimbursement.


Attachment(s):
*
 

Warning: Attaching documents with sensitive information (e.g.SSN) is not recommended unless the document is password protected. If your document is password protected, send the password to MIPAR Business Central(mipar_info@umbc.edu) in a separate e-mail.

*Notes/Comments:

       
* = Required field.