UNIVERSITY OF MINNESOTA DULUTH


CIVIL SERVICE VACATION DONATION WORKSHEET

DONOR INFORMATION
Account String:  
Base Salary:

$
Hourly rate_____ (multiply by) x number of hours donated (limited to 40 hours and must be in 8-hour increments

x
(multiply) x fringe rate

x

Total

$
RECIPIENT INFORMATION
Account String:  
Base Salary:

$

Hourly rate_____ (multiply by) x 8 hours =
(from Variable Salary Rates Table)

x
(multiply) x fringe rate

x

Total daily rate
$

The University of Minnesota is an equal opportunity educator and employer.