Project Pay Pre-Authorization

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Project pay is compensation for authorized services performed outside an employee’s standard contract and is subject to the same state and federal income taxes, FICA, and other withholdings as standard pay.

This form, along with all other required documentation listed below, must be approved and on file with the ESD Human Resources and Business departments PRIOR TO STARTING WORK. Some of the forms are available on the ESD website at www.hdesd.org. For the I9 Form, drug testing, and background check please make an appointment with HR at 541-693-5625 at least 7 DAYS PRIOR TO STARTING WORK.

Depending on your employment status the following is required to be completed and on file with the ESD prior to starting work. Note: If you are currently employed by the ESD or listed in the ESD SubFinder system no additional documentation is required.

School District Employee
If employed by Bend-LaPine, Redmond, Sisters, Culver, Jefferson or Crook County school districts the following must be on file with the ESD prior to starting work:
q  Release of Information Form (website or HR)
q  Payroll Information – Substitute & Project
Form (website or HR)
q  W4 Form (website or HR)
q  I9 Form (HR only) / Not an Employee
If not employeed by a component district, the following must be submitted to the ESD prior to starting work:
q  Payroll Information – Substitute & Project Form (website or HR)
q  W4 Form (website or HR)
q  I9 Form (HR only)
q  Negative drug test results (HR only)
q  Criminal Background Check (HR only)
q  Direct Deposit or Pay Card authorization

Project Information

Project description:

Payroll Information CHECK ONE: Licensed Classified Supervisor Administrator

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Print Name Address City State Zip

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Phone Date of Birth Soc. Sec. # Signature Date

Authorization

Program Manager Human Resources Business Office

HDESD Business Office revised 9.8.17