Request for Special Payment

The Request for Special Payment Form is to be used for Teaching and Administrative Faculty and is authorization for payment in addition to regular salary.

*Note on Adjuncts: To assure compliance with the state’s Affordable Care Act guidance, Deans must determine and approve the additional hours of work before assignments are made. Any hours of work compensated by a special pay action will have to be documented and counted towards their 29 hours per week on average over a twelve month period.

This form was updated in February 2021.  Please make sure that you are using the most up-to-date version.