If appointment is for less than 9 months, leave blank. The standard number of payments in a year is 26. The departmental account number to which funding is charged, including 4-digit object code which determines benefit eligibility. Attach an additional sheet, if more than 3 accounts will be charged. If funding will be charged to more than one account, indicate the percentage of the total salary paid by each account.
Comments Provide any additional or clarifying information.
For name change, address change, etc. indicate equivalent outdated information, if applicable. This may vary from unit to unit, and it is the responsibility of each unit to establish procedures for authorization.