Department of Medicine - Posting Requisition Form


	Message from the Chairman
	Calendar
	Grand Rounds and Faculty Research Conferences
	Monthly Newsletter
	Departmental Reports
	Ways of Giving
	Faculty White Pages
	Staff White Pages
	Staff Resources

Pay Error Correction/Missing Check Form*

Fax Form To: Human Resources Process Center at 212-851-2990.
* Do not use this form to track paperwork received after the Mail Closing Date.

Employee Information
Employee ID:
Empl Rec #:
Last Name:
First Name:
Employee Status:	Active LOA Terminated Retired
Employee Type:	Officer Support Staff Work Study Casual Stipend
Employee Pay Group:	M01 M02 M03 BW1 BW2 WK1 WK2 RET

Error Information
First Pay Error Type:	Base Pay Add'l Compensation Deductions Taxes
Correction:	Over Payment Under Payment Missing Payment (inc. Vacation and Severance) Stop Pay/Reverse
Pay Period of Error:	Start Date: (mm/dd/yyyy) End Date: (mm/dd/yyyy)
If known, please complete the fields below.
Amount:
Code:
Tax Periods:
Take Normal Deductions:	Yes No
Describe the Pay Error and Reason for the Adjustment:

Second Pay Error Type:	Base Pay Add'l Compensation Deductions Taxes
Correction:	Over Payment Under Payment Missing Payment (inc. Vacation and Severance) Stop Pay/Reverse
Pay Period of Error:	Start Date: (mm/dd/yyyy) End Date: (mm/dd/yyyy)
If known, please complete the fields below.
Amount:
Code:
Tax Periods:
Take Normal Deductions:	Yes No
Describe the Pay Error and Reason for the Adjustment:

| TOP |

Last updated 4/4/2005