20.02 Form 500 Personnel/Budget Action Request Issued: May 18, 1998 Updated: January 24, 2000
1. Purpose of Form 500
The University utilizes the Form 500 to effect all personnel related changes for non-student employment. Personnel related changes include the following:
Personnel Actions
Position Actions
Hire or Rehire
Change effective dates
Promotion
Change Title
Pay Increase
Establish Position
Transfer In/Out
Eliminate Position
Demotion
Change Adloc
Termination
Change Funding Source
2. Form 500 Preparation
The following guidance is provided to assist in preparing the Form 500.
1. Date enter the date the form is prepared
2. Position title enter the official title approved by the Office of Human Resources
3. Department - enter the name of the employing department
4. Current account balance enter the current balance of the funding account
5. Cost of this transaction enter the total cost (i.e. include benefits for local accounts) of the proposed action.
6. Balance after transaction subtract item (5) from item (4) and enter amount.
7. Personnel place and X or a check mark in the box next to the proposed action(s)
8. If pay increase if a pay increase is recommended, place an X or a check mark next to the reason for the raise, enter the proposed effective date and enter the date and amount of the last pay increase received by this employee.
9. If new hire if the recommended action is a new hire, place an X or a check mark in the box whether or not it was advertised, indicate the proposed employment date and beginning salary, and place an X or a check mark in the box indicating whether or not the recommended hire is a U.S. Citizen.
10. If not a U.S. citizen, please explain if the recommended hire is not a U.S. Citizen, please enter a brief explanation of why you are recommending the hiring of a non-U.S. citizen and indicate their immigration status. [Note: If you don't know their immigration status you need to find this out to determine if they are eligible for employment by the University.]
11. Background and comments on personnel action request please provide a brief statement explaining/justifying the recommended action.
12. If this personnel action is disapproved, what is the impact on the University please provide a brief statement explaining the possible negative outcome of not approving the recommended action.
Note: If the space provided for items (10), (11) and (12) is not sufficient, please attach complete responses to Form 500 and reference as appropriate.
13. Future funding if the proposed action results in a permanent pay increase, please place an X or check mark in the box indicating whether or not your department has the necessary funding to sustain it.
14. Contact info please enter the name and campus telephone number of the person you want contacted should a question arise regarding this Form 500 action.
15. Approval the required officials sign on their respective lines.
16. PIN please enter the Position Identification Number. For permanent (budgeted) positions, this is the five digit number (PXXXX) assigned by the B/P/P System; for temporary (wage) positions, this is a ten digit number (PXXXXXXXXX),comprised of the employee's social security number preceded by a "P".
17. Fiscal Year - please enter the fiscal year pertaining to the proposed personnel action.
18. ADLOC please enter the current and recommended Administrative Location. The ADLOC is an 8-digit number comprised of the University's TAMUS Part number (05) followed by the account number of the person responsible for the position. The ADLOC is important because it determines who approves an employee's payroll. [Note: an employee cannot approve their own payroll.] The ADLOC for the employees of a department would be the account number of the department/budget head; the ADLOC for the department head would be the account of their immediate supervisor (e.g. dean, director, vice president, or president). [Note: the ADLOC can be different from the funding source account number.]
19. Effective Date please enter the current and recommended effective dates of the position.
Example: Position currently titled Clerk I; Form 500 recommends retitling position to Clerk II effective June 1, 1998.
FromThru
Current 0901 0531 Recommended 0601 0831
20. Annual Term Dates please enter the current and recommended annual term dates. The two annual term dates are as follows:
21. PIN T-Code - please enter the current and proposed title code of the position in question. The title code is a four digit code listed in the University's Classified/Non-Classified Pay Plan and/or on the letter from Human Resources authorizing the position.
Position Title TitleCode
Clerk I 0002 Clerk II 0003
22. Position Action please enter the two-digit code indicating the recommended position action (see item 40) on the recommended line.
23. Name please enter the current and recommended employee names. If the position occupant is or will be vacant, please enter "Vacant".
24. SS Number please enter the social security number of the current and recommended employees. If the position is or will be vacant, please enter 999-99-9999 for the social security number.
25. Effective Date please enter the effective dates of the current and recommended action. Note: These dates should be the same dates as entered in item (19).
26. From PIN if the employee is being transferred in from another position, please enter the employee's previous PIN on the recommended line.
27. To PIN if the employee is being transferred to another position, please enter the employee's new PIN on the current line.
28. Occupant Action - please enter the two-digit code describing the current and/or recommended occupant action (see item 41), as applicable.
29. Percent Effort - please enter the current and recommended percent effort of the employee.
For more guidance, on faculty, please see Attachment 1
30. Range/Step please enter the range and step of the current and recommended pay rate for classified positions (See Pay Tables in Classified/Non-Classified Pay Plan). For non-classified (faculty and professional) positions, this section should be left blank.
31. FTE Monthly or Hourly Rate please enter the current and recommended hourly rates for temporary positions or the current and recommended monthly rates for permanent (budgeted) positions.
32. FTE Annual Rate please enter the current and recommended estimated total wages to be paid for the recommended effective dates of temporary positions or the current and recommended annual salary for permanent (budgeted) positions.
33. Benefit Replacement Pay - Please indicate whether the person is eligible for benefit replacement pay. To be eligible, the person must have been employed with the State of Texas prior to September 1, 1995 and must be transferring from another state agency or returning to work within 12 months of their termination.)
34. Source - Requested Recommendation -- this section contains the information relating to the funding sources (accounts) and amounts.
35. Title Code -- please enter the four digit code pertaining to the recommended position. Note: This should be the same number entered on the recommended line for item 21.
36. Period -- please enter the time frame the recommended action pertains to. Note: These dates should be the same as those entered on the recommended line for items 19 and 25.
37. Source -- please enter the PVAMU's part number (05) and the PVAMU account that will fund the recommended action.
38. Percent Effort - please enter the percent effort for the referenced funding account. Ifthere is more than one funding account, a separate line needs to be completed for each funding account.
39. Source Amount -- please enter the total amount obligated for the requested actions. This is calculated as follows:
Permanent (Budgeted) Position: Monthly Rate X No. of Months X Percent Effort
Temporary (Wage) Position: Hourly Rate X No. of Hours per Month X Percent Effort
40. Position Action -- these are the position actions and two digit codes recognized by the B/P/P System.
41. Occupant Action -- these are the occupant actions and two digit codes recognized by the B/P/P System for the current and recommended actions.
3. Form 500 Process
3.1 To effect an employee action, a properly completed Form 500 must be submitted through the following approval process:
Step
Approval
Purpose
1
Budget Head
Approve/Recommend Action and approve use of funds
2
Dean/Director
Approve/Recommend Action
3
Vice President
Approve/Recommend Action
4
Budget
Verify funding and position
5
Human Resources
Verify Compliance with Human Resources policies
6
President
Approve/Authorize Recommended Action
3.2 If the Form 500 is for the employment of retiree, a letter from the retiree approving the percent effort of employment must be attached.
3.3 The approved Form 500 is returned to the Personnel Office for distribution and filing Copies of the Form 500 are routed to the Payroll Office, the Budget Office and the requesting department.
3.4 The Personnel Office, Budget Office and Payroll Office are responsible for entering information into their module of the Budget/Payroll/Personnel (B/P/P) System.
4. Forms
Form 500 forms may be obtained from the Human Resources Department. [Note: Copies of the form are available on diskette.]