Danforth bonus authorization form

DANFORTH BONUS AUTHORIZATION FORM

Incentive for FY: _________________ PPE Date: ______________

Department: _____________________ Check Date: ____________

Name	Role	Empl ID	Type of Payment	Reason for Payment	Salary	Payment Amount
	Academic Staff		BON (Bonus/Incentive) LUM (Lump Sum in Lieu of Salary Increase)
	Academic Staff		BON (Bonus/Incentive) LUM (Lump Sum in Lieu of Salary Increase)
	Academic Staff		BON (Bonus/Incentive) LUM (Lump Sum in Lieu of Salary Increase)

Approvals
Department Head ___________________________________ Date __________________
Vice Chancellor/Dean ________________________________ Date __________________
Please consult with the Compensation Department regarding bonuses prior to obtaining Department approvals. Send completed form to Human Resources, Campus Box 1184 or fax to 935-5146