PLEASE PRINT A COPY OF THIS FORM BEFORE HITTING THE "SEND" BELOW.  ATTACH YOUR PRINTED COPY TO THE STUDENT'S TIMESHEET WHEN THEY EXHAUST WS.  THIS WILL ENSURE THAT PAYROLL CAN MANAGE A SMOOTH TRANSITION TO TEMPORARY SERVICE FOR YOUR STUDENT. 

This form is used only to notify Payroll when a current student employee is exhausting Work-Study, and needs to be moved to your Temporary Service Payroll. It is not to be used when first hiring a TS or WS student, and cannot be used for summer hires,even if they are continuing employees.  .

 For an indication of applicable deadlines and payroll dates, go to the Payroll Calendar.  

Use the tab key or the mouse to move through the survey.  The enter key or the send button at the bottom submits the form to us.

Department Name

Supervisor Name

NAME of Student

Student SS# last four digits only

Exact Starting Date on TS     Use 00/00/00 format
   

WS exhausted; move to TS (student must be already hired and authorized on WS and who has used entire WS award)

Pay Rate

Temporary Service Account #

The student had WS Direct Deposit and wants this to continue on Temporary Service

      

A copy of this is not kept in your email "Sent" file.  You may wish to keep your own record of this.  You will go to the Student Employment Supervisor's Manual web site after submitting.