Hourly Employee Certification Form

Hourly Employee Certification Form

Determining RF Pay Basis: Salary or Hourly

Hourly employees are ineligible for many Research Foundation benefits. Under the new law, the Affordable Care Act requires employers to offer health insurance to eligible employees. This form will ensure that proper eligibility is determined. Appointments for any employee appointed on an hourly pay basis must have this certification included as part of the new hire packet.

1.  Is the employee going to work inconsistent hours each pay period, or on an as needed basis, i.e., not working each pay period?

Yes_____ (Go to #2)

No______Employee should be classified on a salary pay basis and may be eligible for benefits. DO NOT put an hourly rate on the appointment form. Instead, complete the biweekly and/or annual salary boxes. (Go to #4)

2.  If employee will be working inconsistent hours each pay period, or on an as needed basis, you should put the hourly rate in the hourly section of the appointment form and leave the salary boxes blank. (Go to #3).

3.  Paying an employee on an hourly pay basis will make them ineligible for health benefits. (Go to #5)

4.  If FTE percentage will be lower than 100% please provide an Employee Work Schedule. The RF's pay cycle is biweekly, with a Friday pay date. Salaried employees are paid-to-date. Each payroll check reflects regular time worked during the two weeks through and including payday. Certification is not required for salaried appointments and no further action is required.

5.  Hourly employees should not have an FTE of 100%. You should calculate the average percentage of full-time-hours the employee will be scheduled to work and put that percentage in the FTE % box. (Go to #6)

6.  Please complete, sign below, and attach this form to the appointment form. The RF’s pay cycle is biweekly, with a Friday pay date. Hourly employees are paid on a two-week lag basis according to the payroll calendar: RF Hourly Payroll Calendar 2017 Deadlines and their time is reported using the Hourly Attendance Report (Word) or Hourly Attendance Report (PDF).

Employee Name ______

Project Director Signature ______