HTML Preview Supplement to military pay worksheet page number 1.
WORKSHEET—Supplement to Military Pay
EFFECTIVE: July 1, 2018 through June 30, 2022
University of California
(R6/18)
PERSONAL INFORMATION
EMPLOYEE NAME
EMPLOYEE NUMBER
DATE
LOCATION
DEPARTMENT
APPOINTMENT TYPE (Staff or Faculty)
MILITARY SERVICE BRANCH
MILITARY RANK
DATE MILITARY LEAVE BEGINS
SUPPLEMENT TO MILITARY PAY
Not to exceed tour of active duty, or two years, retroactive to
December 14, 2001 (lifetime limit), or until June 30, 2022, whichever
comes first.
SUPPLEMENT TO MILITARY PAY START DATE
SUPPLEMENT TO MILITARY PAY END DATE
MONTHLY MILITARY GROSS PAY (Enter base pay and all allowances that apply)
ATTACH LEAVE EARNINGS STATEMENT
1. MILITARY GROSS PAY: $__________
2. BASE PAY: $__________
ALLOWANCES:
BAQ: _________
Hazardous Duty: _________
Flight Pay: _________
Foreign Duty: _________
Driving Pay: _________
Clothing Allowance: _________
Foreign Language Proficiency: _________
Medical/Dental Officers: _________
Active Duty Reserved Medical Officers: _________
Other: _________
Other: _________
Other: _________
Other: _________
3. TOTA
L MILITARY GROSS PAY: $__________
GROSS SUPPLEMENTAL PAY (To be completed by employee’s department)
4. UC “REGULAR” GROSS PAY - PAID
MONTHLY
(Use Line 5)
SEMI-MONTHLY
(Use Line 6)
BIWEEKLY
(Use Line 7)
5. BIWEEKLY COMPUTATION
$_______ x26 = $_______ $_______ /12 = $_______ $_______
6. SEMI-MONTHLY COMPUTATION
$_______ x24 = $_______ $_______ /12 = $_______ $_______
7. MONTHLY REGULAR GROSS PAY
$_______
8. UC MONTHLY “REGULAR” GROSS PAY
(From Line 5, 6 or 7)
$_______
9. TOTAL MONTHLY GROSS MILITARY
PAY*
(From Line 3)
$_______
10. GROSS SUPPLEMENTAL PAY
$_______
*(If line 9 is greater than line 8, enter zero. No Supplemental Payment is due. Otherwise enter difference between lines 8 and 9.)