Application for Payroll Authorization

Thank you for submitting an application for payroll authorization. This form will be sent to the controller to confirm budget dollars are available and to the human resources director to confirm the pay rate and job description.

Once that is complete, you—as the hiring manager—will approve any changes to the APA. It will then be forwarded to the appropriate next levels for approval.

Employee Name*

Employee Personal Email Address*

Personal email address for new employees only to start the on boarding paperwork process.

Position Title*

Request Initiated By

This is the hiring manager.

First Last

Hiring Manager Email*

Classification*

Please check all that apply.

Full Time – regularly scheduled to work at least 28.125 hours per week (.75 FTE)
Part Time – regularly scheduled to work less than 28.125 hours per week
Temporary – typically hired for less than 6 months for a specific project
Work study – students working under a work study grant
Student – students not working under a work study grant

Typical Hours per Week*

Please enter the usual hours scheduled to work each week.

Justification*

Will this position involve driving fleet vehicles?

Yes - requires motor vehicle back ground check
No - will never drive a fleet vehicle

Start Date*

This will be the first day that the change will be in effect. Whenever possible, this should be the first day of a pay period.

End Date

Year round positions will typically not have an end date.

Suggested Rate of Pay*

Please do not communicate a rate of pay to an individual until it has been approved. Please enter an hourly rate for hourly positions and an annual rate for exempt positions.

Account Numbers & Allocations*

If unsure, please confirm with the Business Office.
Percentage must total 100%

Account Number Percentage Allocation

Additional Accounts & Allocations

If you have more than two accounts for allocation, please indicate below.

Special Instructions

If applicable.

Upload Supporting Documents

Drop files here or

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 96 MB.

Name

This field is for validation purposes and should be left unchanged.

MyNorthland

Application for Payroll Authorization

Getting your position approved.