ࡱ> oqn7 bjbj55 8`WdWdjj,,,,,,,,,l/-,^>&-----...=======$@:C>,.....>,,-->000. ,-,-=0.=00R=9:-p . 1:=.>0>:C.C<:C,:..0.....>>/...^>....C.........j u+: ֱ Incentive Compensation Agreement & Payment Request FACULTY ONLY Notes: This form is not to be used for payments funded with stimulus funding. 1. _______________________________________________________________2. ______________________________ Employee Name (Last, First, M.I.)Banner ID3. _________________________________________ __________________  _____________________ _________ Position No. Suffix For Payroll Use Only Employee's Home Department TimesheetOrg 4. _______________________________________________________________ Rank/Title 5. E-Class (9 or 12 month faculty): F9 ___ FA ___ Earnings Code: 680 Account Code: 61265 6. Incentive Agreement:Incentive Compensation is a form of non-guaranteed supplemental compensation intended to reward faculty for sustained research and scholarly productivity based upon a negotiated percentage (not to exceed 50%) of salary recovery, payable after each effort certification period. The chair must balance the needs of the department with the need to reward faculty for sustained productivity. Before incentive payments can be made, the salary recovery must reimburse the department for faculty replacement costs. At the discretion of the chair, salary recovery may be allocated for other departmental purposes as shown below. Begin Date:End Date: Negotiated Incentive Percentage: %Prior to payment of the incentive compensation, the following amounts are to be subtracted from the salary recovery allocable to each semester:Required allocation to reimburse department for faculty replacement costs (e.g. temporary instructor.)$Discretionary allocation to reimburse department for faculty support costs (e.g. travel or summer compensation.)$Discretionary allocation to meet other departmental needs (e.g. graduate assistantships or equipment.)$Comments (e.g. basis for costs of replacement faculty for course loads or other reassigned activities):Faculty, Chairs, and Deans: We have read and will comply with  HYPERLINK "http://policies.memphis.edu/UM1490.htm" University Policy for Incentive Compensation. We understand that excess payments for incentive compensation may be returned to the University through payroll deduction. _________________________________________ _________________________________________ _________________________________________ Faculty Signature Date Department Chair/Activity Head Date Dean/Director Date7. Payment Request: Index/Fund/Organization/Account Code/Program Do NOT direct charge a sponsored program.Amount Semester of Effort Fall Spring SummerPayment Date* a. _____________________________________________ $______________ _____ _____ _____ __________________ b. _____________________________________________ $______________ _____ _____ _____ __________________ c. _____________________________________________ $______________ _____ _____ _____ __________________ ֱ person for FOAP Information: ________________________________________________________________________________ Name Phone # EmailFaculty Certification: I certify that the effort certification has been completed for the semester(s) indicated, that no sponsored program under my control has been overspent, and that all required match (if any) has been properly documented. _________________________________________ Faculty Signature Date Department/College Certification: We certify that salary recovery funds are available to fund the incentive compensation. _________________________________________ _________________________________________ Department Chair/Activity Head Date Dean/Director DateRev. 6/09*PAYMENT WILL BE PROCESSED ON THE NEXT REGULAR PAYROLL AFTER WORK IS COMPLETED PROVIDED THAT THIS PROPERLY COMPLETED FORM IS RECEIVED IN PAYROLL OFFICE NO LATER THAN THE FIFTH DAY OF THE MONTH TO BE PAID.Rev. 6/09 $45>GLT^_apqx~ɺwfUw hs56CJOJQJ^JaJ h,T56CJOJQJ^JaJ he%(56CJOJQJ^JaJ&he%(h956CJOJQJ^JaJh95CJOJQJ^JaJhia5CJOJQJ^JaJh+5CJOJQJ^JaJhhw~hCJhw~hCJ hkcCJh@jhbh9h<hbhCJaJq 6 7 ?Okd^$$If)0Z- $4 awyto $Ifgdo $Ifgdw6<kd$$If*Z-$4 awyto $$Ifa$gd,T $$Ifa$gd9 $Ifgd9  6 7 ^ g h i k ϻteQ@2@hAfcCJOJQJ^JaJ hRhAfcCJOJQJ^JaJ&hRhAfc5CJOJQJ\^JaJh5CJOJQJ\^Jh{hCJaJh{hCJaJh{hCJOJQJ^J h{hsCJOJQJ^JaJ h{hCJOJQJ^JaJ&h{h5CJOJQJ\^JaJhCJOJQJ^J he%(56CJOJQJ^JaJ&he%(hu556CJOJQJ^JaJ7 ^ h i  } $$Ifa$gdR $Ifgdb $Ifgd/$Okd$$If0Z- $4 awyt,$x$Ifa$gdw6$If     > b c z { | }  мЎvbQ h{hCJOJQJ^JaJ&h{h5CJOJQJ\^JaJh^hAfcaJ hcaJhRhAfcaJhAfcCJOJQJ^J h{hAfcCJOJQJ^JaJ hAfc5CJOJQJ\^JaJ&h{hAfc5CJOJQJ\^JaJ h{hAfcCJOJQJ^JaJ hRhAfcCJOJQJ^JaJhAfcCJOJQJ^JaJ  c { | x $$Ifa$ $Ifgd/$ $IfgdckkdJ$$If40Z- ` $4 awpyt,| } ul/)$If<kd$$If%Z-$4 awytem $Ifgdbkd$$If4MFZ-   $    4 awpytz/       ޾ҭwjZjZjJ99 h` 5CJOJQJ\^JaJh#Ehx5CJOJQJ^Jh{hx5CJOJQJ^Jhx5CJOJQJ^J h#EhxCJOJQJ^JaJ hz/5CJOJQJ\^JaJ&h#Ehx5CJOJQJ\^JaJ hx5CJOJQJ\^JaJ&h{h5CJOJQJ\^JaJhCJOJQJ^J h{hCJOJQJ^JaJ h{hsCJOJQJ^JaJ  O $Ifgd` K$ $IfgdD*K$<kdb$$IfZ-$4 awytem  & + 2 8 ? 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