Hourly: Total Hours To Date From Payroll $ $ Hourly Rate 1-00-00-00000-1319 $ Gross To Date Eligible For - Hours at $ - /HR or $
Hourly: Total Hours To Date From Payroll $ $ Hourly Rate 1-00-00-00000-1319 $ Gross To Date Eligible For - Hours at $ - /HR or $
Hourly: Total Hours To Date From Payroll $ $ Hourly Rate 1-00-00-00000-1319 $ Gross To Date Eligible For - Hours at $ - /HR or $
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.
APPROVED
___ Employee Request
Supervisor_______________________________________
0
Rev 04/01 forms\salary
advance.doc