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Suspense/Employer Charges Transfer Request Form Summer 2012

* indicates a required field

* Student Name:

* Student ID #:

Student HRMS Employee ID. #:

* Department Name:

* Contact Person:

* Email:

* Phone#: Fax #:
Campus Box:

Completion of this form does not guarantee that a transfer will occur when requesting the transfer for Hourly to Work-study. Transfer will be contingent upon availability of funds and student eligibility. You will be notified by email whether or not a transfer is completed.

Fiscal Year 2011-2012

* Pay Period End Date:(Check all that apply)
05/26/2012 -- WSR Amount: WSC Amount:
06/09/2012 -- WSR Amount: WSC Amount:
06/23/2012* -- WSR Amount: WSC Amount:

* Charge to:
(Do not include speedtype). If submitting a suspense request to transfer funds, please enter the correct FOPPS that the earnings are to be transferred to.

Fund: Org:

Fiscal Year 2012-2013

* Pay Period End Date:(Check all that apply)
07/07/2012 -- WSR Amount: WSC Amount:
07/21/2012 -- WSR Amount: WSC Amount:
08/04/2012 -- WSR Amount: WSC Amount:
08/18/2012 -- WSR Amount: WSC Amount:

**Students who will graduate in the summer 2012 must stop working on 08/11/12.

* Charge to:
(Do not include speedtype)
Fund: Org:

*Reason for Transfer:

*You must notify the Student Employment Office by 6/23/12 if you want any transfers done for the 2011-2012 Fiscal Year.

Be sure you check your PeopleSoft statements and your student's payroll setup early to avoid incorrect charges.