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Interactive Forms Manager
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Current Location: Interactive Forms Manager > Submitter > Forms > Submit Form
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Shippensburg Area
Payment Request - Sports
6/17/2019
Name: *
School: *
Employee ID: *
First 2 ltrs of last name, last 4 digits of SS#
Sport: *
Total Hrs or Total Days:
1 - full pay, .5 - half pay, or total hrs for post-season
Contract Amt or Hrly Post-season Rate: *
Total Pay:
Dates/Hrs of work:
not required for salaried supplementals

*** Below fields will be completed by payroll ****

Account Number:
percent:
Account Number:
percent:
Account Number:
percent:
Account Number:
percent:
Pay Date:
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Your Routing Level: General
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