Brown University - Student Personnel Action Form (SPAF) Click Here for Detailed Action Code Instructions Important Tips Please consult the Student Employment Office web site at www.brown.edu/studentemployment for information on hiring, paying and supervising student workers. Subcodes: Undergraduate Student: 2510 Graduate Student: 2520 If you are unsure of your Job Department Number contact Human Resources Information Services at 3-2597. Submit hours to the Payroll Office only if H.R. Information Services has received the SPAF (and I-9, if applicable) for this new hire, rehire or data change. Be sure to keep a copy of this completed SPAF for your records.

Action Code «?» Student's Social Security Number «?» Student's Name (Last Name, First Name, Middle Initial) «?»    Sex Status A                                                     Emp Type S Pay Stat H    FLSA Y        Job Class T99001   Job# «?» Job Begin Date«?» Job End Date«?»    Pay Rate «?» Rt Code H   % Full Time «?» Pay Cycle S2 Job Department Number «?» - Time Rpt Cd P    Grade Level «?»    SPA# «?»   Account Number and Subcode «?» Account Start Date «?» Account Stop Date «?»   Account Number and Subcode Account Start Date Account Stop Date   Account Number and Subcode Account Start Date Account Stop Date     Pay Rate Effective Date«?» TK ID«?»

Send Completed Form to: HR Information Services, Box 1879        x                  Contact person for this positionExtensionBox#   Authorized SignatureExtension

For HRIS Office Use Only Entered by: Date: [  ] Rehire / I-9 OK                [  ] New Hire / I-9 OK                 Date of Birth   Box #     Banner ID# Visa Type:                  Visa End Date:                                 Country Code:                  I-9 Exp Date: