EPAF request form to initiate process for hires, terminations, resignations, funding source changes, or other personnel-related changes.
A short description to explain the nature of a ticket.
Select the relevant type of employment for the action being taken.
Select the type of change this EPAF is initiating
Description of and reason for the requested EPAF
Select the reason for the termination of the employment.
VNumber of employee for whom the form is being requested. Please use "V########" format.
Employee first name
Employee last name.
Position title of employee for whom the form is being filled out.
Position control number (PCN) of the employee for whom the form is being filled out. Use 00#### format.
PCN Suffix for the employee for whom the form is being filled out. Use ## format.
Select the date of the employment start, date of the change to employment, or the termination date (last day worked).
Select the effective date of the termination.
Date that background check was completed
Date that the I-9 information was completed.
Name of supervisor of employee for whom the form is being requested.
Briefly describe the responsibilities of the employee's job.
What state(s) will the employee's job be located in?
Enter the hourly rate for the employee.
If this is a termination, enter "0" in this field.
Enter the number of hours per week that the employee will be working.
If this is a termination, enter "0" in the hours per week field.
Full Time Equivalent 1.0 FTE is a full time employee; 0.75 FTE is a 3/4 time employee, and 0.50 FTE is a half-time employee.
The amount is calculated based on 2,080 hours for a classified/exempt fiscal year employee and 1,560 hours for a full time academic year-based faculty member.
Hourly rate x 2080 for a full-time fiscal year employee;
Hourly rate x 1560 for a full-time academic year faculty;
Otherwise, hourly rate x expected number of hours per year
Timesheet organization code - ###.
If this is a termination, enter "0" in the timesheet org field.
Home Organizational code - department code under which the employee works
Funding Splits
Select the number of funding splits for this action. i.e. How many different indexes will be paying for this action.
Total percentages must add up to 1.00 (100%)
Funding Splits
List the index for the funds that will be paying for the employee.
Activity code, if applicable, associated with index 1.
% of the labor distribution being paid by Index 1
For 100% show as 1.00, for 50% show as 0.50
Total funding percentages must add up to 1.00
For split funding, list the second index for the funds that will be paying for the employee.
Activity code, if applicable, associated with index 2
% of the labor distribution being paid by Index 2
For 100% show as 1.00, for 50% show as 0.50
Total funding percentages must add up to 1.00
For split funding, list the third index for the funds that will be paying for the employee.
Activity code, if applicable, associated with index 3
% of the labor distribution being paid by Index 3
For 100% show as 1.00, for 50% show as 0.50, for 33% show 0.33, 0.34, etc.
Total funding percentages must add up to 1.00
For split funding, list the fourth index for the funds that will be paying for the employee.
Activity code, if applicable, associated with index 4
% of the labor distribution being paid by Index 4
For 100% show as 1.00, for 50% show as 0.50, etc.
Total funding percentages must add up to 1.00
Add any additional clarifying information or comments that will aid in the processing of this EPAF.

Other Fields

Your name