*Request must be submitted no later than 3:00 p.m. on the Thursday before the end of the pay period. Note: This form requires signatures, please print and take the completed form to the Human Resources office. Please fill out information below:
*Request must be submitted no later than 3:00 p.m. on the Thursday before the end of the pay period.
Please fill out information below:
Department: Account # :
Pay Period #: Total Retro Hours:
Reason:
