Supplemental Pay Form Beta

VALDOSTA STATE UNIVERSITY
Human Resources: Supplemental Pay Form
University Center (Entrance 5)
Phone: 229-333-5709

Please fill out all required fields - Required fields are marked.

Requestor Information:

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    Employee Information:

  • Faculty
    Staff
    Student
  • Full-time
    Part-Time
    Temporary
    Graduate Assistant
    Student Assistant
    FLSA Exempt
    FLSA Non-Exempt
  • Teaching/Instruction
    Event/Performance/Other/etc.
    • **If this course/event is canceled, it is the EMPLOYEE’s responsibility to notify Payroll, Human Resources, and the Registrar.

    • Employees of Valdosta State University, are entitled to overtime or comp-time for any work performed for the University System of Georgia in excess of 40 hours/week in all jobs combined. By engaging in additional work activities such as teaching [list course(s) below], or working an event (such as a special venue, music/theatre performance event, etc.) the employee is eligible for comp time as calculated below. Compensatory time is required to be used first, prior to the use of vacation or sick leave for any leave taken. As long as there is comp-time in an employee’s OneUSG leave balance (“time bank”), comp-time must be taken before taking annual/vacation leave or sick leave (this includes mandatory leave days).

    EMPLOYEE– The employee certifies that they understand that compensatory time will be accumulated as detailed below for the work performed in addition to the employee’s primary job at VSU. The employee also acknowledges that they understand that compensatory time must be used first, before using any other leave.

    SUPERVISOR– The supervisor certifies that they understand the employee will accumulate compensatory time as detailed below for the work performed in addition to their primary job at VSU, and that the supervisor understands the employee is required to use comp-time first, before using any other leave and that any comp time outstanding after a year must be paid out by the employee’s HOME department.

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  • Face-2-Face
    Online
    Hybrid
    N/A (Not Applicable)

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    (If teaching, Total Hours Term/Event is calculated as Standard Hours x Number of Weeks)

    • Compensation/Funding Information:

  • Yes
    No

    • The Employee will perform the duties as described above. The number of hours above reflect the work time required for the services to be performed outside a normal work day or while on annual leave. If this class/event is canceled, it is the employees responsibility to inform Payroll, Human Resources, and the Registrar.

    Extra Compensation (8.3.12.4)
    Research, Saturday Classes, & Off-Campus Education that meet below criteria:
    In accordance with USG Policy 8.3.12.4, extra compensation on may be paid for participating in appropriate University instructional, research, or service activities when all four of the following conditions are met:
    • The work is carried in addition to a normal work load
    • No qualified person is available to carry the work as part of his/ her normal load
    • The work produces sufficient income to be self-supporting
    • The additional duties are not so heavy as to interfere with the performance of regular duties
    When extra compensation is paid, it shall be no greater than compensation on paid for performance of the employee’s normal duties.

    Extra Compensation (5.3.2)
    All others duties provided they met the below criteria:
    Per USG Business Procedures Sec on 5.3.2; all 3 criteria must be met:
    • Task must be outside of employee’s regular department.
    • This form is signed/approved by appropriate departmental/unit heads.
    • Employee must meet at least one of the criteria below: Chaplain, Fireman, Dentist, Certified Interpreter for Deaf Persons, Registered Nurse, LPN, Psychologist, Teacher/Instructor of evening course or program, Professional holding doctoral or masters degree; part-time employee

  • I hereby accept the terms outlined on this form and certify that, to the best of my knowledge, the information submitted on this form is accurate, true, and complete
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    • Employee & Organizational Development
    • University Center Entrance 3
      1500 N. Patterson St.
      Valdosta, Georgia 31698
    • Mailing Address
      1500 N. Patterson St.
      Valdosta, GA 31698
    • Main
    • Phone: 229.259.5105

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