Hourly: Total Hours To Date From Payroll $ $ Hourly Rate 1-00-00-00000-1319 $ Gross To Date Eligible For - Hours at $ - /HR or $

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REQUEST FOR WHITMAN COLLEGE

SALARY ADVANCE BUSINESS OFFICE

1. Fill in all blank information lines.


2. Obtain Department Head signature below.
3. Return this form together with a photocopy of your Time Reporting Form to
Human Resources for completion and approval.
4. Salary advance checks should be picked up in the Business Office Annex,
MEM 107.

EMPLOYEE NAME ID NUMBER


EMPLOYING DEPARTMENT____________________________________SALARIED EMPLOYEE __
HOURLY EMPLOYEE __
REQUESTS AN ADVANCE OF $__________________.

I understand that I am allowed only one personal salary advance each fiscal year (APRIL -
MARCH). Hourly employees are eligible for no more than half of hours worked to date of
the salary advance request; salaried employees are eligible for up to half of regular
monthly gross. I also understand that this salary advance will be deducted in full from
the next regular paycheck received.

EMPLOYEE SIGNATURE________________________________________________ DATE

DATATEL ACCOUNT # CHECK NEEDED BY

APPROVED
___ Employee Request

Supervisor_______________________________________

___ Payroll Correction Human Resources


_________________________________

___ Other: __________________________

To Be Completed by Human Resources:

HOURLY: TOTAL HOURS TO DATE FROM PAYROLL $

$ HOURLY RATE 1-00-00-00000-1319

$ GROSS TO DATE Eligible for _______ hours @ $_______/hr or $

0
Rev 04/01 forms\salary
advance.doc

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