About this Form: This form is an internal College of Fine Arts form created by the CFA HR Office. It conveys the necessary information to the CFA HR Office that they need to start the process to pay.

This form MUST be completed to even begin the payment process for any individual (including independent contractors)* that the CFA will pay (EXCEPT payments for Fellows or Grad Students for their Graduate Assistantships). After this form is received the CFA HR Office will review and begin the payment process.

* If the entity you are paying is incorporated, i.e., is a company (not just a person who wishes to be paid as an independent consultant/vendor) please contact the CFA Fiscal Business Office at 273-0323.

How to Complete this Form:

Who completes this form? Either the faculty member requesting the payment or the School’s admin person. Never give this form to the payee to complete.

Complete ALL Yellow highlighted Fields. Yellow Highlight = Required Field.

Get your School Director’s signature on page 3.

QUESTIONS: Please call your department Office Assistant first and if they are not able to help you in the time you need the help, please call the CFA HR Office (George Trucano or Barbara Mitola).

SCHOOL OR CENTER for which the individual is doing the work: (click for drop down)

IS THIS A CHANGE TO AN IPIF YOU HAVE ALREADY TURNED IN? Yes No

PAYEE CONTACT AND BACKGROUND INFORMATION

Name

Important! Must be as it appears on the social security card

Email Address

Phone

Permanent Address

Citizenship Status Citizen Non-Citizen National of the US Non-Resident Alien Perm Resident

Is this person currently a student at UF Yes No Gender: Male Female

Has this person ever been a student at UF Yes No Marital Status: Married Single

Highest Education Level AND Degree Granting Institution Name (for adjunct and permanent faculty only):

UFID __ ___(if known)

TRAVEL REIMBURSEMENT OR TRAVEL DIRECT PAY?

Will this person be reimbursed for (by UF) or directly paid (by UF – like a Pcard charge) for any travel expenses?

Yes No You MUST check one

If you have increased the person’s honorarium to cover their travel please check NO.

If you checked YES, I will email you a UFID# for this person so you can do the required online TA (Travel Authorization) Form.

For Independent Contractors, all travel expenses are subject to Florida Statute 112.061.

DATES WORK WILL BE PERFORMED: The payee CANNOT WORK until he/she is notified by CFA HR via email.

WHERE WORK WILL BE PERFORMED: (click for drop down

TYPE of PAYEE: (click for drop down)

TITLE: (click for drop down)

Lump Sums cannot be used to pay for classroom teaching.

If you think this person is NOT currently on UF payroll and you are requesting a lump sum payment, you may ask the payee to complete the Vendor Tax Information Form http://www.fa.ufl.edu/wp-content/uploads/2012/03/fa-uds-vtif.pdf. If you do not wish to request this of the person, Victoria Masters in the CFA Business Office, will do so if the person is cleared to be paid as a vendor.

HOURS WORKED:

Estimated hours the employee will work in ONE week

OR

Estimated hours the employee will take to complete the activities for which they are to be paid

OR

FTE (General Guide: 3 credit hours of teaching = .25 FTE

PAYMENT AMOUNT**: The amount of pay you write down below will be the amount the person will be paid before their taxes are taken out (gross pay).

Hourly Pay Rate:	(minimum wage is $7.93/hour)

OR 9 Month Salary:

OR 12 Month Salary:

OR Semester Salary:

OR Lump Sum Amount:

PAYMENT CANCELLATION: If you need to cancel this payment, after you have sent in this form to the CFA HR Office, please email Barbara Mitola at bmitola@arts.ufl.edu to let her know IMMEDIATELY.

SCOPE of WORK (description of the activities for which they are to be paid)

Is this person replacing a staff or faculty member who would normally do these duties? If so, who?

Course Number (IF TEACHING or funded on M&S Fees):

Course Description (IF TEACHING or funded on M&S Fees):

Section Number(s) (if known):

FUNDING SOURCE: DESCRIPTION of the money from which this payment is to be made. The description should be detailed enough for the CFA Accounting Coordinator to assign a funding source for payment - like “State Current Funds”. (if you know the chartfield you may enter it here as well)

FOR ACCOUNTING COORDINATOR – Assign HRAC and initial _________________________________

FORM COMPLETED BY: PHONE:__

This form should never be completed by the payee

APPROVAL and PAYEE SIGNATURES BELOW

FOR ALL	_______________________________________________

Director Approval (sign and date)

CFA Office Approvals (for CFA Business Office Staff Use only)

_________________________________________________________________

CFA HR Approval	(sign and date)

_________________________________________________________________

CFA Business Manager Approval	(sign and date)

__________________________________________________________________

CFA Other Appropriate Funding Authority Review (sign and date)

**PAYMENT Terms: The University of Florida does not guarantee payment time since the type of payee paperwork differs for each type of payee. General rules of thumb are:

For International payments of any kind (including Guest Artists/Speakers): The expectation should be 2 months after they person has begun work on the UF campus in the United States (if this form was turned in at least 3 months prior to commencement of work).

For Citizen Lump Sum Payments (including Guest Artists/Speakers) and Independent Contractors UF’s payment terms are net 30 days after receipt of invoice (based upon completion of work and agreed upon payment schedule).

The University of Florida can terminate the contract for services for Independent Contractors for any or no cause.

For all other payments: The expectation should be that the person can begin working approximately 2 weeks after the CFA HR office receives this form. And should begin getting paid 2 weeks after that.

Form Last Updated by BPM 6/18/14