Payroll Request Form
Request Info
Organization
*
HBC
HCA
Camp Harvest
Effective Date
*
MM slash DD slash YYYY
Reason
*
Budgeted
*
Yes
No
Requestor's Name
*
Requestor's Email
*
OLT/MLT Approver
*
Stephen Stewart
Philip Mathew
Kelly Altieri
Laura Schroeder
Diane Birkenstock
Joe Nelson
Talbott Behnken
Jeff Sharda
Sherri Smith
Roger McCoy
Andi Rozier
Dave Learned
Mike Ruge
Jeff Thompson
Jennifer Abbatacola
Brit Gilman
Tommy Creutz
Adam Skidmore
Karen Huizenga
Scott Williams
Jon Bell
Carl Barkow
Michael Vanlaningham
John Smith
Alex McMahan
Hidden
MLT/OLT Email
Employee Info
First Name
*
MI Name
Last Name
*
Title
*
Manager
*
Manager Email
*
Pay Info
Amount Per Hour
*
No. of Hours
*
Retro Amount
*
Other Pay
*
TOTAL
*
Hidden
HR Director
*
Hidden
Manager Approval
Approve
Reject
Hidden
Manager Approval - Date
MM slash DD slash YYYY
Hidden
Manager Approval - Time
:
Hours
Minutes
AM
PM
Hidden
MLT/OLT Approval
Approve
Reject
Hidden
MLT/OLT Approval - Date
MM slash DD slash YYYY
Hidden
MLT/OLT Approval - Time
:
Hours
Minutes
AM
PM
Hidden
HR Approval
Approve
Reject
Hidden
HR Approval - Date
MM slash DD slash YYYY
Hidden
HR Approval - Time
:
Hours
Minutes
AM
PM
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