Human Resources 04-2020 Page 1 of 2

PERSONNEL APPOINTMENT FORM (PAF) PAF #: _____________

Name Empl ID Number Home Address Telephone #

Title Title Code Department Gender Education Code Experience Credit

SECTION 1: APPOINTMENT ACTION Action Taken

Begin Date End Date FTE/Credits Sem 1 Begin Date End Date FTE/Credits Sem 2 Base Salary Account Information

Amount Fund Program Account Project % Amount Fund Program Account Project % Amount Fund Program Account Project % Amount Fund Program Account Project %

Total Salary Total % (must equal 100) Explanation (e.g. rationale for additional payment, additional funding lines and percentages, etc.)

SECTION 2: OTHER PAYMENT Action Taken

Begin Date End Date FTE/# of Credits Base Salary Account Information

Amount Fund Program Account Project % Amount Fund Program Account Project % Amount Fund Program Account Project % Amount Fund Program Account Project %

Total Salary Total % (must equal 100) Explanation (e.g. rationale for additional payment, additional funding lines and percentages, etc.)

Signature (if overload) Date

Step 1: Request the PAF Number using the Request Form here

Human Resources 04-2020 Page 2 of 2

SECTION 3: LEAVE Begin of Leave End of Leave % Of Leave Reason

SECTION 4: AUTHORIZING SIGNATURES

Chair/Assoc. Dean/Director Date

Dean Date

Vice/Asst. Chancellor Date

General Ledger/Controller Date

Budget Director Date

Payroll Date