North Dakota State University

If a 9, 10 or 11 month employee is being paid summer salary, fill out a Change Form 101 for the payment(s).  Please make sure you are using the most current version of the Change Form 101.
 

1. At the top of the form fill in the Employee Name, Empl ID and the Effective Date (the first day of the pay period for the first summer salary payment).  
2. In the “Remarks” section at the top, type “SUMMER SALARY, SEE 2ND PAGE”.  Put nothing else on the first page of the form.
3. At the bottom of the 2nd page in the “Other Earnings” section, check the “SUMMER SALARY” box.
4. Fill in the Department Name, Description of Work, and Justification fields.
5. In the Account Code section, type in the applicable Fund, Dept, Project, Program and Account information.  
6. In the “$ Amount” column, type the amount the employee will get each pay period and select the “per pay period” payment option from the drop down box.
7. Enter the beginning date and ending date for the summer salary payment.
8. In the “Additional Comments” section, please add any other relevant information.
9. Route for signatures, as usual.