Request for Report

Complete this form if you need a duplicate Earrnings Statement, Unclassified Leave Statement or Output Report.

Requestor’s Name: Last First MI

Requestor’s UDDS

Requestor's 3270 Logon

Item Needed:

Earnings Statement

Unclassified Leave Statement

Output Report

Job Number

Job Name

Name of Employee Missing the Statement

Appointment Type
Classified
Unclassified
Student

Pay Date of Statement or Report Requested (mm/dd/yyyy)

What to do with the statement or report:

Mail to Requestor via campus mail Employee or Courier will pick up the statement

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