Formatos de archivo disponibles:.xlsx
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All necessary documents, as indicated below, have been forwarded to our office before the scheduled deadline as set by the Payroll Processing Schedule.",,,,,, ,,,,,, ,,,,,, DATE:,Prepared by:,,Telephone Number:,,,OLO:, ,,,,,, DATE:,AUTHORIZED BY:,,,TELEPHONE NUMBER:,, ,,,,,, NOTE: THE AUTHORIZED SIGNER OF THIS DOCUMENT MUST HAVE AN AUTHORIZED SIGNATURE FORM ON FILE WITH THE BUREAU OF STATE PAYROLLS.,,,,,, BENEFICIARY PAYMENT REQUIRED DOCUMENTATION ,,,,,, ,,,,,, BENEFICIARY DOCUMENTATION REQUIRED FROM THE AGENCY,,,,,DECEASED EMPLOYEES DATES OF SERVICE:,, Beneficiary Affidavit(s) Form (DFS-A3-1912):,,Death Certificate:,,,Begin Service Date:,, IRS Form W-9 Taxpayer ID Certification:,,Letter of Administration if Applicable:,,,End Service Date:,, ,,,,,, DECEASED EMPLOYEE INFORMATION,,,,,, ,,,,,, PLEASE PROVIDE ALL REQUESTED INFORMATION IN THIS SECTION,,,BIWEEKLY AND/OR MONTHLY RATE OF PAY,,REGULAR AND/OR OPS SALARY/WAGE PAY PERIOD BEGIN AND END DATES,, SSN :,,PAY CYCLE,Biweekly Period Rate of Pay:,,CS/SES/SMS,BEGIN:,END:, LAST NAME:,,CLASS CODE:,Biweekly Hourly Rate of Pay:,,OPS-BIWEEKLY,BEGIN:,END:, FIRST NAME:,,PAY PLAN:,OPS Hourly Rate of Pay:,,,, MI:,,APT CD:,Monthly Period Rate of Pay:,,CS/SES/SMS,BEGIN:,END:, DECEASED DATE OF DEATH:,30-12-1899,RET CD:,Monthly Hourly Rate of Pay:,,OPS-MONTHLY,BEGIN:,END:, ,,,,,, BENEFICIARY REGULAR SALARY/WAGE PAYOUT INFORMATION,,,,,, ,,,,,, BIWEEKLY SALARY/WAGES,BIWEEKLY ROP,CONTRACT HRS,HRS ,HRS PAID,GROSS,TROP,HOURLY RATE OF PAY CALCULATION WITH/WITHOUT CJIP,, 9170 - Regular Salary/Wages,0,80,0,0,1,PAYROLL TYPE,BIWEEKLY,MONTHLY,CJIP HOURLY CALCULATION, 9171 - OPS Salary/Wages,0,,0,0,2,PERIOD RATE,, MONTHLY SALARY/WAGES,MONTHLY ROP,CONTRACT HRS,HRS ,HRS PAID,GROSS,TROP,PLUS PAY ADDITIVE,,0, 9170 - Regular Salary/Wages,0,,0,0,1,TOTAL GROSS,0,0, NOTE: Hourly Rate of Pay, 9170 - Regula
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