SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE

OFFICE OF HUMAN RESOURCES

PAYROLL / BENEFITS EXCEPTION REPORTING FORM

Form Instructions are available at: www.siue.edu/humanresources/forms/pdf/PayBenExceptRptInst.doc

Name:	Banner ID:
Payroll:	FA SM BW ST	Payroll #:
Related to:	Rate of pay	Hours reported	Missing overload
Assignment/FTE change	Changed jobs	Tax error
Benefits error	Other:

For all cases please provide a description of the exception.

Please call me at my office phone no.:	or e-mail me:	@siue.edu
Payroll and/or Benefits staff will research and respond to you within two days.

10/08

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SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE

OFFICE OF HUMAN RESOURCES

PAYROLL / BENEFITS EXCEPTION REPORTING FORM

Form Instructions are available at: www.siue.edu/humanresources/forms/PayBenExceptRptInst.doc

Name:	Banner ID:
Payroll:	FA SM BW ST	Payroll #:
Related to:	Rate of pay	Hours reported	Missing overload
Assignment/FTE change	Changed jobs	Tax error
Benefits error	Other:

For all cases please provide a description of the exception.

Please call me at my office phone no.:	or e-mail me:	@siue.edu
Payroll and/or Benefits staff will research and respond to you within two days.

10/08

Southern Illinois University Edwardsville

OIT

2009-09-30

SIUE