ࡱ> FHEa objbj** 40H=bH=ba x x 8@,l,2!2#2#2#2#2#2#2$4>7`G2"G2\2666:!26!266e.0Sa5/ 2r2025/\7.70070|6G2G2627x B : Concurrent Employment Request Form Instructions 91ȫ Concurrent Employment Authorization Concurrent employment exists when a state employee receives compensation from: (1) Two different state agencies/institutions or (2) from the same institution/agency for additional duties over and above those of the employees primary position and regular work schedule and where such duties are clearly not a part of the employees primary job. City School Districts are NOT considered State institutions. NOTE: Concurrent employment does not differentiate between funding sources; therefore any position requiring an Extra Compensation EPAF for employees working for two different departments or the same departments must have an approved concurrent employment form before the services are to begin and before the EPAF is submitted to the Department of Human Resources. Employees Responsibility/Liability The UA Little Rock employee (originator) is responsible for the completion and submission of the Concurrent Employment Request Form. The employee should work with his/her hiring departments at both the primary and secondary employers to ensure the form is properly submitted. It is acceptable for the UA Little Rock administrative staff of the hiring department to submit the concurrent employment form to Human Resources on behalf of the employee. Penalties for non-compliance are outlined in AR Code Annotated 6-63-307 (2011). Defining Primary versus Secondary Employer The Primary Employer is defined as the agency/institution employing the employee in a fulltime appointment, the employer paying the greater salary, and/or the employer with the longest duration of employment. The Secondary Employer is defined as the agency/institution employing the employee on an adjunct or part-time basis, the employer that is paying the lesser salary, and/or the employer with the shortest duration of employment. Additional Information Pertaining to Concurrent Employment Full-time faculty members teaching an overload course through an extra comp assignment are exempt from concurrent employment if the overload course is within the employees primary department. Comments must be entered in the EPAF to note (overload for primary department). If the overload is performed for a secondary department a concurrent employment form must be submitted to Human Resources. A concurrent form will need to be completed each academic semester for faculty/employees with course schedules that fluctuate each semester. The only exception will be for those teaching all online courses. For non-teaching assignments, a concurrent employment form may be active for the entire fiscal year (07/01-06/30). Please make sure all additional duties performed for the secondary employer/department by the employee do not interfere with the proper and required performance of the employee's primary duties (days and times should not conflict or overlap). Please make sure all wages paid to the employee will be in compliance with applicable provisions of the Fair Labor Standards Act. This includes but is not limited to the over-time provision. The employee will be required to take accrued annual leave for any secondary hours worked which are in conflict with primary work hours. For classified employees, accrued compensatory time will be used before annual leave is docked. The combined salary payments from the primary and secondary employers shall not exceed the larger maximum annual salary of the line-item position authorized for either agency/institution from which the employee is being paid (unless the employee is secondarily employed in a teaching position pursuant to Arkansas Code Annotated 19-4-160(b) which allows employees to teach temporarily. ADHE requires that all forms be submitted to ADHE at least five (5) days prior to the intended start date for the secondary appointment. To ensure Human Resources has time to verify the information and to work with the departments to make any necessary corrections, the Concurrent Employment Request Form should be submitted to UA LITTLE ROCKs Human Resources at least ten (10) working days prior to actual start date of the secondary appointment. Requests not submitted to ADHE five days prior to the intended start date will require written justification from the employing department as to why the documents were not received within the established timeframe. UA LITTLE ROCK benefits eligible employees cannot teach at any other institution of higher education within the state of Arkansas. Requests for an exception should be submitted to the employees Vice Chancellor for approval by the Chancellor.     /0UVWz{|ĭxfUG9U$)ha0=h056>*CJOJQJ^JaJha0=CJOJQJ^JaJh0CJOJQJ^JaJ h0h0CJOJQJ^JaJ#h0h05CJOJQJ^JaJ#h hi5CJOJQJ^JaJ#h h05CJOJQJ^JaJ h h0CJOJQJ^JaJ,h hH$5B* CJOJQJ^JaJph,h hH$5B* CJOJQJ^JaJph#h0hA5CJOJQJ^JaJ#h0h75CJOJQJ^JaJ 0VW{|   hhhhhh<d$d%d&d'd(d)fNOPQRSgda0=?$d$d%d&d'd(d)fNOPQRSa$gda0= $da$gd0 $da$gdi       Ủ~i~UKA/#h ha0=5CJOJQJ^JaJh0OJQJ^Jh0h06>*&h0hi6>*CJOJQJ^JaJ)ha0=h056>*CJOJQJ^JaJ&h0h06>*CJOJQJ^JaJ&h0h06>*CJOJQJ^JaJ)h0h056>*CJOJQJ^JaJh0CJOJQJ^JaJ/h0h05>*B* CJOJQJ^JaJph h0h0CJOJQJ^JaJha0=CJOJQJ^JaJ q r xsgds)?$d$d%d&d'd(d)fNOPQRSa$gda0= dgdi<d$d%d&d'd(d)fNOPQRSgda0=  q r 峧ucQ#h ha0=5CJOJQJ^JaJ#h h 5CJOJQJ^JaJha0=CJOJQJ^JaJ#h ha0=5CJOJQJ^JaJ#ha0=h4^5CJOJQJ^JaJha0=ha0=5CJaJha0=h CJOJQJ^JaJhkWCJOJQJ^JaJ#ha0=ha0=5CJOJQJ^JaJ ha0=ha0=CJOJQJ^JaJha0=OJQJ^J G7$d%d&d'd(d)fNOPQRSgd $a$gd gds)7$d%d&d'd(d)fNOPQRSgda0=:$$d%d&d'd(d)fNOPQRSa$gda0=8B^q@TWPQ+mnɱqccccUUUUch5HCJOJQJ^JaJh CJOJQJ^JaJ.jhXKCJOJQJU^JaJmHnHu&h ha0=6>*CJOJQJ^JaJ&h h 6>*CJOJQJ^JaJ/h h 56B* CJOJQJ^JaJph#h h >*CJOJQJ^JaJ&h h 5>*CJOJQJ^JaJ h h CJOJQJ^JaJqQnacdfgijl dgd8o; & F $d%d&d'd(d)fNOPQRSgdXK7$d%d&d'd(d)fNOPQRSgd n|`abdeghjknoǶh ;{jh ;{U h ha0=CJOJQJ^JaJ h h CJOJQJ^JaJ&h%Rmh 6>*CJOJQJ^JaJ&h%Rmh5H6>*CJOJQJ^JaJ lmno; & F $d%d&d'd(d)fNOPQRSgdXK21h:pzN/ =!"#$%  s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH J`J ANormal dCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List DD 7 List Paragraph ^m$6U 6 Qi0 Hyperlink >*B*phFV F "0FollowedHyperlink >*B*ph4"4 8o0Header  H$6/16 8o0 Header CharCJaJ4 B4 8o0Footer  H$6/Q6 8o0 Footer CharCJaJRbR &0 Balloon Text dCJOJQJ^JaJN/qN &0Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< o90  no lo@ @H 0(  b(     f}1Xd; 1,k?s"*???B S  ? o%tacdfgijlpapUU`ap 2*Ir9i+VHS,-ْdODEa*tp?B:xv!>}+z8R$I|$Һ^`o(. p^p`hH. @ L^@ `LhH. ^`hH. ^`hH. L^`LhH. ^`hH. P^P`hH.  L^ `LhH.^`o(. p^p`hH. @ L^@ `LhH. ^`hH. ^`hH. L^`LhH. ^`hH. P^P`hH.  L^ `LhH.^`o(. p^p`hH. @ L^@ `LhH. ^`hH. ^`hH. L^`LhH. ^`hH. P^P`hH.  L^ `LhH.h^`B* OJQJo(phhHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hHh ^`hH.h ^`hH.h pL^p`LhH.h @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PL^P`LhH.80^8`0o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.^`o(.  ^ `hH.  L^ `LhH. x^x`hH. H^H`hH. L^`LhH. ^`hH. ^`hH. L^`LhH.^`o(. p^p`hH. @ L^@ `LhH. ^`hH. ^`hH. L^`LhH. ^`hH. P^P`hH.  L^ `LhH.^`o(. p^p`hH. @ L^@ `LhH. ^`hH. ^`hH. L^`LhH. ^`hH. P^P`hH.  L^ `LhH. tpS,-i+B:xvI|}+z2*EadO X        v        "        G                 jc        +@        Ғ(        LBm        YWr \Y ;! v | \f 'A"f"^2%i)1p+|34a0=>5X"ѰճnkksI6"8AE.yLayz_ pgmi.@q,7+N00Eq&s)q\s\Q]xQ`v&ac@o@UnknownG.[x Times New Roman5Symbol3. .[x Arial7.*{$ Calibri9.. Segoe UI;Wingdings?= .Cx Courier NewA$BCambria Math"1h4t'At'g'  ! !!0XX 3QHP $P72!xxDp$= Human Resources Michele Curd0         Oh+'0  < H T `lt|Human ResourcesNormalMichele Curd3Microsoft Office Word@e@8"@4@W5 ՜.+,0 hp|  ! X  Title  !"#$%&'()*+,-./012346789:;<>?@ABCDGRoot Entry F0ea5I1Table7WordDocument40SummaryInformation(5DocumentSummaryInformation8=CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q