VA Vacant PIN is vacant Office Mailing Address – The employee’s office mailing address. If the employee is located in a temporary office, then a new Form 500 should be completed when the permanent office is established. When the mailing address changes for the office, email the payroll office of the change. County – The county where the employee’s office is located. Refer to the list. Phone # – The employee’s office phone number. Previous State Employment – Indicates whether the new employee has previously worked for any State agency. Supervisor/Team Leader name – The name of the employee’s supervisor or team leader. Rate Section Percent Effort – The total effort of the budgeted PIN. All budgeted PINs must be 50% or greater. Leave this field blank for wage PINs. Pay Ind (Pay Indicator) – A code that determines whether the PIN is paid on the monthly payroll or the biweekly payroll. It also determines whether the PIN is eligible for overtime pay at time and a half. Call the payroll office if you are unsure. Code Employee Percent Effort Overtime Eligible Rate of Pay A Budgeted 100% No Monthly B Budgeted At least 50% and less than 100% No Monthly C Graduate Student (GAR/GAT) Leave blank No Monthly D Budgeted 100% Yes Biweekly E Budgeted At least 50% and less than 100% Yes Biweekly E Wage Leave blank Yes Biweekly
Termination Reason Code – The Human Resources Manager will complete the termination reason code for an employee’s termination or retirement. (Occupant Action Codes IT, RE and VT.) Term Code Termination Reason 59 Resignation/Reasons unknown 63 At will termination 64 Reduction in force 65 Transfer to non-A&M System agency/institution with no break in service 66 End or expiration of contract or grant 68 Retirement 69 Death Approvals Section Preparer – Name and date for the preparer of the form. Recommended By/Approved By – Refer to Administrative Procedure 01.03 Director’s Delegations – Human Resource Administration for the required approvals and documents. Reviewed by Division Business Administrator – Initialed by the division business administrator. 42. FIAD Administrative Approval – Signed by either the Human Resources Manager or the Payroll and Support Services Department Head. Refer to Administrative Procedure 01.03 Director’s Delegations – Human Resource Administration. Payroll Office Use Only – Initialed and dated by the payroll office staff.
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