Texas A&M Forest Service Form 500 Personnel/Budget Action – 1 2 3 Date: PIN: Fiscal Year: 6 Time Reporting Effective Date Position 4 7 POSITION Position ADLOC Title Code 5 8 ADLOC Action From Thru Current Recommend Occupant 9 10 OCCUPANT From PIN To PIN Name UIN 13 Action 12 Current 11 Recommend 14 15 16 Office Mailing Address: County: Phone #: 17 18 Previous State Employment: Yes No Supervisor/Team Leader Name: Pay Percent FTE Monthly or FTE Annual Salary Eligible for Benefit Replacement IND RATE 19 21 22 23 24 Effort Hourly Rate Action Pay: Yes No 20 Benefit Replacement Pay Included Current in Salary: Yes No Recommend Amount: SOURCE REQUESTED RECOMMENDATION Extended Source Form attached 26 33 Source Title Acct Obj Percent Period Requirement Code Analysis Class Effort PT Sup Acct Bud 28 From Thru Acct Sup Acct 25 Acct 30 31 32 27 29 Pool Comments: 34 Disposition of Lump Sum Leave 35 Disposition of Sick Leave 36 Vacation Leave Hours to be Paid: Sick Leave Hours Donated to Pool: Biweekly Employees FLSA Comp Time to be Paid: Sick Leave Hours Remaining after Donation: 37 38 Eligible for Rehire: Yes No Termination Reason Code: (provide supporting documentation to HR) Preparer 39 40 Date: Recommended By: Name: 41 Signature Date Reviewed by Division Business Administrator: Initials Signature Date 42 FIAD Administrative Approval: Approved By: _______________________________________________________ Signature Date Signature Date 43 *PAYROLL OFFICE USE ONLY* Budget Screen Entry Emailed Preparer People Screen Entry Lump Sum Processed
Texas A&M Forest Service – Form 500 Personnel/Budget Action Date: 1 PIN: 2 Fiscal Year: 3 POSITION Position ADLOC 4 Time Reporting ADLOC 5 Effective Date 6 Title Code 7 Position Action 8 From Thru Current Recommend OCCUPANT Name 9 UIN 10 From PIN To PIN Occupant Action 13 Current 12 Recommend 11 Office Mailing Address: 14 County: 15 Phone #: 16 17 Previous State Employment: Yes No Supervisor/Team Leader Name: 18 RATE Percent Effort 19 Pay IND 20 FTE Monthly or Hourly Rate 21 FTE Annual 22 Salary Action 23 Eligible for Benefit Replacement Pay: 24 Yes No Current Benefit Replacement Pay Included in Salary: Yes No Recommend Amount: SOURCE REQUESTED RECOMMENDATION Extended Source Form attached Title Code 25 Period 26 Source Acct Analysis 30 Obj Class 31 Percent Effort 32 Requirement 33 From Thru PT 27 Acct 28 Sup Acct 29 Acct Sup Acct Bud Pool Comments: 34 Disposition of Lump Sum Leave 35 Disposition of Sick Leave 36 Vacation Leave Hours to be Paid: Sick Leave Hours Donated to Pool: Biweekly Employees FLSA Comp Time to be Paid: Sick Leave Hours Remaining after Donation: Eligible for Rehire: Yes No (provide supporting documentation to HR) 37 Termination Reason Code: 38 Preparer Name: 39 Date: Recommended By: 40 41 Signature Date Reviewed by Division Business Administrator: Initials Signature Date FIAD Administrative Approval: 42 Approved By: _______________________________________________________ Signature Date Signature Date *PAYROLL OFFICE USE ONLY* 43 Budget Screen Entry Emailed Preparer People Screen Entry Lump Sum Processed
Form%20500%20Personnel%20Budget%20Action%20-%20Preparation%20Instructions.docx