UNIVERSITY OF VIRGINIA
FINANCIAL AND ADMINISTRATIVE PROCEDURES MANUAL
TITLE: PREPARATION OF PAYCHECK MAILOUT FORM PROCEDURE: 4-35
Policy Reference:
See also Procedure: 4-31, "Duties and Responsibilities
of Payroll Distribution Officers"
Form: Payroll Mailout Form (UT-195)
Obtain Blank Forms From: Fiscal Administrators; photocopy
page 4.35.4. Or Check Distribution
Section, Carruthers Hall, 924-4459.
Forward Completed Forms To: Departmental Payroll Distribution
Officer.
Purpose
To authorize Departmental Payroll Distribution Officer to mail
employee's paycheck.
NOTE: PAYROLL CHECKS ARE MAILED ONLY BY THE EMPLOYEE'S DEPARTMENT.
The Bursar's Office does not mail payroll checks or keep records of
payroll checks mailed from departments. The Paycheck Mailout Form
(UT-195) should be kept on file in the department. Retain the form
according to Policy II.C.1 and Procedures 2-30, 2-31, and 2-32.
Instructions
The numbered items on the sample form should be completed as
follows:
Completed by Employee
1. Employee's typed or printed name.
2. Employee's social security number.
3. Employee's department name.
4. Three letter Home Department Code representing employee's
department.
5. Check the pay type.
6. Employee's signature.
7. Current date.
8. Address to which paycheck will be mailed.
Completed by Departmental Payroll Distribution Officer
9. Requested paydates for checks to be mailed.
10. Date check was mailed.
11. Check number.
12. Check amount.
13. Check date.
14. Signature of Payroll Distribution Officer.
15. Write "mailed" next to employee's name on Check Receipt List;
date, and sign own name in full.
Disposition
Original Copy --File in permanent departmental file.
Photocopy --To employee.
ISSUED BY: 05/27/92
University Bursar 4.35.2