Supplemental Payment Form
Replaces the Personal Service Requisition. Form used for exempt employees to issue supplemental payments in addition to the base salary. This form should be used for exempt employees only. The Supplemental Payment Form should be sent to the HR Information Center at 705 Broad Street (Box 90496), Durham, NC 27705 (fax number 919-668-0386) after approval by the appropriate departmental and/or budgetary official.
Please Note: Supplemental Pay Forms for some job codes should be sent directly to Corporate Payroll Services at 705 Broad Street (Box 90484), Durham, NC 27708 (fax number 919-668-5840) after approval by the appropriate departmental and/or budgetary official.
| Form Name | Format |
|---|---|
| Supplemental Payment Form | |
| Supplemental Payment Form | Word |
* Some Duke HR forms may require you to list your Duke Unique ID. If you do not know or are unsure of your Duke Unique ID, you can look it up here.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.