denotes required fields.

**If you are completing this for a termination, you only have to complete the items that are required or have this indicator (T). You may skip the rest.
Department Contact Information
Employee Information
This will be used for the I9 request, please use the email address that is monitored more closely.
EPAF General Information
Complete for non-student positions.
Needed for students, short-term and terminations.
Wage Information
Please input the hourly rate. Calculation will be run by our office.
These are most used for GA positions and for one-time payments to students for a special project. Please input total amount to be paid for the appointment period. (i.e. $11,000 for 10 months)
Labor Distribution
Additional Resources
Click this link before you submit this form. This will open a new tab and you will not lose your form data, come back to this tab to submit the form.