RH-T002 SIN DISTRIBUCION-rev 15-AGO-2023 Logo UPR-INGLES.xls

	A	B	E	F	G	H	J	K	L	M	N	O	P	Q	R	S	T	U	V	X	AB
1	UNIVERSITY OF PUERTO RICO
2						UNIT:
3	HUMAN RESOURCES OFFICE
4	NOTIFICATION OF CHANGE AND PERSONNEL TRANSACTION WITH SALARY DISTRIBUTION
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6	Fiscal Year:					Email:													Reference Number:
7	1. Name:																		2. Employee Number:
8	3. Transaction:																			5. Academic Qualifications:
9	4. Purpose:
10	6. Work Day:		Full:				Partial:			Hours per week:
11	7. Effective date:		MONTH	DAY	YEAR						8. Termination Date:					MONTH	DAY	YEAR
12	9. AEELA			10. Retire		DCP	N/A	11. Health Insurance					12. Type of Visa					13. I-9 Effect. (mm/dd/yyyy)			14. Exempt
13		Yes	No						Yes			No					N/A				Non Exempt
14	EMPLOYMENT DATA
15							CURRENT										AFTER THE CHANGE
16	15. Pay Scale (category, level, five year salary increase or "quinquenio")
17	16. Faculty, Department, Deanship, Office
18	17. Organization's Default Account
19	18. Tittle/Rank
20	19. Appointment Type
21	20. Position Number
22	21. Type of Service
23	22. Payment Element
24	23. Account to be Charge
25	24. Amount to be Pay (monthly or per period according to payment element)
26	25. Current Annual Institutional Base Salary
27	26. Time and Effort Report Requiered									Yes			No
28	27. Off-Scale Salary
29	Authorized Amount Above Pay Scale													Authorized Increase
30	Academic Preparation													Five Year Salary Increase
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33		Employee								Date					Budget Office Director						Date
34															or Authorized Reprentative
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37		Inmediate Supervisor								Date					Finance Office Director						Date
38															or Auhorized Reprentative
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41		Home Department Director								Date					Principal Investigator or Project Director						Date
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44		Dean or Office Director								Date					Principal Investigator or Project Director						Date
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47		Human Resources Director								Date					Appointing Authority						Date
48		or Authorized Representative													or Authorized Representative
49	28. Comments:
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65	RH-T002: Rev. 15-AGO-2023
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