FORM CATEGORY:

EXPLANATION OF INFORMATION NEEDED:

INFORMATION REQUIRED:

DEPARTMENT ID:

Five (5) digit Department ID number.

YES

DEPARTMENT NAME:

Department where the employee worked.

YES

POSITION NUMBER:

Enter employee position number.

YES

REPORTS TO:

Enter person's name that employee/position reports to.

YES

CSUN ID:

CSUN ID of the employee you are paying (9-digits).

YES

LAST NAME:

Last name of the employee you are paying.

YES

FIRST NAME/MI:

First name and middle initial of the employee you are paying.

YES

EMPLOYEE TYPE:

Check the appropriate box. If the person is not employed as a regular staff or faculty member, and only working in Job Codes 2322, 2323, 2356, 2363, or 4660, check the third box. If person is not currently employed at CSUN in any capacity, check the fourth box. Note that students working as Teaching Associates, Graduate Assistants, Student Assistants, or Work-Study students may not be concurrently employed in any of these Special Pay Job Codes.

YES

JOB CODE:

The appropriate Job Code for the employee you are paying. (Please see listing above.) NOTE: Only one job code can be selected. If you are paying the same employee for work in more than one job code, a separate Authorization for Special Pay form must be submitted for each job code.

YES

DAYS:

(Use for Job Code 4660) Enter the number of days you are paying the employee. Then enter Rate. (Note: Fractions of days cannot be entered, only whole days.)

YES, if using Job Code 4660.

HOURS:

(Use for Job Codes 2356 or 2363) Enter the number of hours you are paying the employee. Then enter Rate.

YES, is using Job Codes 2356 or 2363.

TENTHS:

(Use for Job Codes 2356 or 2363) Enter a single number between 1 and 9, no decimals, if applicable for tenths of an hour.

YES, if applicable for Job Codes 2356 or 2363.

UNITS:

(Use for Job Codes 2322 or 2323) Enter the number of units you are paying the employee. Then enter Rate.

YES, if using Job Codes 2322 or 2323.

TENTHS:

(Use for Job Codes 2322, or 2323) Enter a single number between 1 and 9, no decimals, if applicable for tenths of a unit.

YES, if applicable for Job Codes 2322 or 2323.

SESSION/COURSE:

(Use for Job Code 2363 only) Indicate the type of session/course rate applicable. EX: Enter "1" if you are paying your employee on a per session/course rate. Then enter Rate. Enter "2" if you are paying your employee on an hourly rate. Then enter Hours/Tenths, then Rate.

YES, if using Job Code 2363. Enter "1" or "2".

RATE:

Enter the rate of pay for your employee appropriate to the Job Codes described above.

YES

SUBTOTAL:

The subtotal amount to be paid to the employee. (This amount will automatically calculate if the preparer of the form is using the downloadable, Excel version of this form.)

YES, if manually preparing the form. NO, if using the downloadable Excel version.

TOTAL:

The total amount to be paid to the employee. (This amount will automatically calculate if the preparer of the form is using the downloadable, Excel version of this form.)

YES, if manually preparing the form. NO, if using the downloadable Excel version.

SELECT ONE:

1) Lect L / Assistant

2) Lect A / Instructor

3) Lect B / Asst Professor

4) Lect C / Assoc Professor

5) Lect D / Professor

Enter the current rank of your faculty employee.

YES, for faculty appointments only.

BEGINNING DATE:

Enter the month/day/year of the beginning date worked.

YES

ENDING DATE:

Enter the month/day/year of the ending date worked. Note that the "ending date" cannot overlap into a subsequent pay period (i.e., there must be a separate Special Pay form for each pay period).

YES

LIST MM/DD WORKED:

Enter each month/day employee worked. Note that day(s) must not overlap into a subsequent pay period.

YES

YEAR:

Enter the year in which the employee worked.

YES

PROGRAM CODE:

Enter Program Code of the course taught.

If Applicable

COURSE TITLE:

Enter Course Title of the course taught.

If Applicable

CLASS NUMBER:

Enter ticket or class number of the course taught.

If Applicable

ENROLLMENT:

Enter the number of students enrolled in the course taught.

If Applicable

THIS FORM PREPARED:

Enter the name of the form preparer and their telephone extension.

YES

DESCRIPTION OF WORK PERFORMED:

Use for "Project Employee" only. Describe worked performed by the employee.

YES, if using Job Code 4660.

DISTRIBUTE CHECK TO:

Enter the name of the department where you want the check distributed.

YES

EMPLOYEE SIGNATURE/DATE:

Employee must sign and date this form.

YES

DEAN/DIRECTOR OR DESIGNEE:
DATE/EXTENSION:

An authorized signer must sign and date this section of the form. A telephone extension should also be included.

YES

FACULTY AFFAIRS APPROVAL FOR FACULTY:
DATE:

All special pay for faculty (Unit 3) must be sent to the Office of Faculty Affairs for review and approval.
Note: Persons only employed in Job Codes 2322, 2323, 2356, 2363, or 4660 must be sent to Human Resource Services, not Faculty Affairs. Special Pay documents must be received by the last day of the pay period for review and approval.

YES, for all faculty special pays.

HR APPROVAL FOR STAFF:
(or persons only employed in Job Codes 2322, 2323, 2356, 2363, 4660, or not currently employed at CSUN)

All special pay for staff (including management) currently employed and for persons only employed in Job Codes 2322, 2323, 2356, 2363, 4660, or not currently employed at CSUN must be sent to the Human Resource Services for review and approval.
Note: Special Pay documents must be received by the last day of the pay period for review and approval.

YES, if employee is management or staff.

PAY CYCLE/PAYDAY:

Payday for Special Pay is the same day each month as for Students and Hourly Intermittents, which is usually the 15th of the month. Please note the symbol l on the Payroll Calendar. Special Pay documents received by HRIS/Payroll Administration by the second business day of the pay period (see symbol v on the Payroll Calendar) will be paid in that pay period. Special Pay documents received by HRIS after the second business day of the pay period will be paid in the next pay period.

MISCELLANEOUS INFORMATION REGARDING THIS FORM:
1.	For the downloadable or on-line version of this form.....The only cell areas open and available to the user are those which require information. All other cells are "locked" and password protected.
2.	For the downloadable or on-line version of this form....The total dollar amount due to your employee will automatically calculate. Please make sure it is correct prior to printing the form.
3.	Always use a separation form for each employee. Never combine two or more pay periods within a single pay request.
HOW TO PRINT THIS FORM:
1.	Select "FILE" then "PRINT"
2.	Select "PAGES" then enter "1" (from) through "1" (to)
3.	Select "OK"
Go Back to the Payroll Forms Directory
Go Back to the Authorization for Special Pay Form

Job Code:	Description:
2322	Instructional Faculty -- Special Programs (For Credit) PAYS BY UNITS/TENTHS OF UNITS ONLY
2323	Instructional Faculty -- Extension (For Credit) PAYS BY UNITS/TENTHS OF UNITS ONLY
2356	Substitute Instructional -- Faculty PAYS BY HOURS/TENTHS OF HOURS ONLY
2363	Instructional Faculty -- Extension (Non-Credit)PAYS BY HOURS/BY SESSION/BY COURSE
4660	Project Employee (a.k.a., Special Consultant) PAYS BY DAILY RATE ONLY