UNIVERSITY OF VIRGINIA
FINANCIAL AND ADMINISTRATIVE PROCEDURES MANUAL
TITLE: PREPARATION OF PAYROLL TRANSMITTAL PROCEDURE: 4-33
FORM (UT-192)
Policy Reference:
Form: Payroll Transmittal Form (UT-192)
Obtain Blank Forms From: Forms are distributed by the Check
Distribution Section of the Bursar's
Office as part of the payroll
distribution/process.
Forward Completed Forms To: Regional Payroll Distributor in
payroll envelopes with Check Receipt
Lists and any unclaimed checks.
Purpose
To document transfer of payroll checks from Check Distribution
Center to Departments and back again.
Instructions
The numbered items on the sample form should be completed as
follows:
Part 1
Completed by Check Distribution 1. Current Date.
Section before release of Payroll.
2. Initials of clerk
transmitting payroll.
3. Number of checks sent
to department.
(Check pay type.)
Part 2
Completed by Departmental Payroll 4. Current date.
Distribution Officer on receipt
of checks. 5. Payroll Distribution
Officer's Signature.
INITIALS OR STAMPED
SIGNATURES ARE NOT
ACCEPTABLE.
6. Number of checks
received.
7. Telephone number of
person receiving
checks.
Part 3
Completed by Departmental 8. Return date.
Payroll Distribution Officer
when returning checks AND 9. Payroll Distribution
check Receipt Lists. Officer's signature.
INITIALS OR STAMPED
SIGNATURES ARE NOT
ACCEPTABLE.
10. Number of checks
being returned.
Enter "NONE" if
appropriate.
11. Telephone number.
12. Names of employees
whose checks are
being returned.
13. Check numbers being
returned.
14. Amounts of checks
being returned.
Part 4
Completed by Check Distribution 15. Current date.
Section after return of Payroll.
16. Signature of clerk
receiving returned
payroll.
17. Number of checks
received.
18. Difference in check
count,if any.
NOTE: All
differences in check
counts will be
resolved or
investigated.
ISSUED BY: 07/17/89
University Bursar 4.33.2