SEAF Form Update

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STUDENT EMPLOYMENT AUTHORIZATION FORM (SEAF) Updates for terminations, account number, pay rates, dates of employment and hours

This form should also be used to request pay increase.

Student Name

Student NSU ID

Job Number*

Position Code (leave blank)

Payment Type

Current Bi-weekly or One-time Payment Amount

New/Corrected Bi-weekly or One-time Payment Amount

Original Payment Date (One time payment. Must be pay date of pay period)

Corrected Payment Date (One time payment. Must be pay date of pay period)

Current Hire Date

New/Corrected Hire Date

Employment From*

Employment To*

Hours

Termination Date

Effective Date*

Timesheet Supervisor*

Timesheet Supervisor N Number*

Original Labor Organization (6 digits)*

New Labor Organization (6 digits)

Account Code (1016, 1017 or 1025) *

New Account Code (1016, 1017 or 1025)

Enrollment (leave blank)

Current Pay Rate/Payment Amount*

Pay Correction

Corrected Pay Rate/Payment Amount*

Pay Increase Request

Pay increases are limited to a maximum of $0.50 per hour.

Current Pay Rate

New Pay Rate

Comment must be made for purpose of SEAF

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