This form is used to hire, rehire, or change the monthly payment of an active, exempt, short-term professional temporary employee. All new short-term professionals must complete a Personal Data Form, an I-9 Form, and a W4 Form. If you are rehiring a short-term professional, check to see if the person needs to complete a personal data form to update address or personal data. An I-9 form is required, also, if the person has not worked at the University recently. 

• Submission of this form allows for the short-term professional employee to receive either:

1. a single lump sum payment; or

2. two or more consecutive monthly payments for a period up to one year without resubmission of additional forms.

• Section II, Monthly Payment Information, details both the monthly payment and the total amount to be paid for the work period. Payments are automatic until the termination date, at which time the short-term professional will be terminated.
• If the entire payment is to be charged to only one account, you do not need to complete the column titled 2^nd Account.
• Pay attention to monthly payroll deadlines.

A short-term professional employee is a temporary staff member hired by the department who works on a short-term basis (usually less than 5 months) and is paid monthly.  A short-term professional is exempt (administrative and professional) and is eligible only for state-mandated temporary disability, worker’s compensation, and unemployment compensation benefits. 

Type of Work Performed – Some examples are coaching; editing; and administrative project work.

1.       Complete all fields in Section I – Employee Information: (required)

• Employee Name

• Empl ID – if the short-term professional’s name and ID is viewable when searching for the person in an HRMS search panel, then the person has an Empl ID.  This is required, if available.

• Start Date represents the hire or rehire date, or the date on which the pay rate changes

• Termination Date represents the first date that the short-term professional is no longer active. The short-term professional is terminated on this date.

• Type of work performed – describes the work of the short-term professional e.g. coaching; editing; administrative project work

• Will employee be working out of state or out of the country? Check yes or no. If yes, list state or country.

1.       Complete all fields in Section II – Monthly Payment Information: (required)

1^st Account

• Monthly Payment to Charge – monthly amount of pay

• Total Amount to Charge – total amount to be paid for period worked

• Account to Charge – account number

2^nd Account

• Monthly Payment to Charge – monthly amount of pay

• Total Amount to Charge – total amount to be paid for period worked

• Account to Charge – account number

3. Comments (optional)

4. Print completed form.

5. Sign and date the form. (required)

6. Fax or mail to your Office of Human Resources

• Main Campus HR - 8-2420, 1 New South
• Library HR - 8-0454, Firestone Library