South Dakota Board of Regents
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South Dakota Board of Regents
Shared Employee
Agreement
Between
Secondary SD BOR Employing Institution Shared Employee Name
I. Compensation Details
Employee Title:___________________________________________ SS #: ____________________
Begin Date: _____________________________ End Date: _______________________________
Salary:_______________________________ Benefits ($ or %):___________________________
Department Name: _____________________________________ Account #:___________________
II. Employment DetailsServices to be Provided by Shared Employee: _____________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
III. Contact InformationPrimary Employing Institution
Signature Authority:_____________________________________________________________
Compensation Processing Contact(s): _______________________________________________
Secondary Employing Institution
Signature Authority:____________________________________________________________
Compensation Processing Contact(s): ______________________________________________
The primary employing institution will be responsible for distributing all compensation and employer-paid benefits to the shared employee. The primary employing institution will be responsible for initiating the non-cash voucher for reimbursement for the costs associated with the secondary employment. Ordinarily, the duties performed for the secondary employing institution will be treated as overload responsibilities or as occurring during a time when the shared employee would not be under contract for active service (e.g., summer session). Nevertheless, the parties may specifically agree that the secondary employing institution has bought out a portion of the shared employee's contract with the primary employing institution; in which case, the primary employing institution will treat the shared employee's workload for the secondary employing institution as meeting the shared employee's obligations under the primary employing institution's workload policies.
In witness hereto, the parties signify their agreement by signatures affixed below:
______________________________________ __________________________________________
Primary Employing Institution/Signature Authority Date Secondary Employing Institution/Signature Authority Date
______________________________________ __________________________________________
Primary Employing Institution/Supervisor Date Secondary Employing Institution/Supervisor Date
____________________________________________
Shared Employee Date
Instructions 00Shared Employee AgreementWho Completes the Form -- the secondary SD BOR employing institution completes two (2) original forms once they have reached acceptable terms and conditions of employment with the prospective shared employee.
Parties to the Agreement
Primary Employing Institution -- institution maintaining employment contract with the shared employee.
Secondary Employing Institution -- institution requesting that the shared employee perform duties for their institution in addition to the duties they currently perform for the primary employing institution.
Shared Employee Name 00name of the employee the secondary employing institution is requesting to share.
I. Compensation DetailsEmployee Title 00title assigned by the secondary employing institution;
SS # -- shared employee00 social security number;
Begin Date 00date the shared employee00 duties will begin;
End Date 00date the shared employee00 duties will end;
Salary 00amount of compensation the secondary employing institution is requesting
the primary employing institution to compensate the shared employee;
Benefits ($ or %) 00percentage of benefits and/or the total dollar amount of
benefits to be added to the compensatory salary amount (FICA; unemployment
insurance; workman00 compensation; SDRS when applicable; health benefits are
maintained solely be primary employing institution when applicable);
Department Name 00department the shared employee will be performing duties
for within the secondary employing institution;
Account # -- secondary employing institution00 account number to be charged for
reimbursement by the primary employing institution.
II. Employment DetailsServices to be Provided by Shared Employee 00identify duties the shared employee is
expected to perform; in addition, if compensation is to be distributed in a non-
standardized manner the secondary employing institution should include such
directives here.
III. Contact InformationPrimary Employing Institution 00institution maintaining employment contract with
the shared employee;
Secondary Employing Institution 00institution requesting that the shared employee
perform duties for their institution in addition to the duties they currently perform for
the primary employing institution;
Signature Authority -- employee who has institutional authority to endorse
agreements for each institution respectively;
Compensation Processing Contact(s) 00employee(s) who are responsible for initiating the payroll
documentation and/or the person responsible for initiating the non-cash voucher.
Signature Fields 00secondary employing institution affixes their institutional approving signatures on both original forms and forwards both forms to the primary employing institution. Once the primary employing institution has affixed their institutional approval signatures to both forms then one (1) form will be retained and one (1) form will be returned to the secondary employing institution.
Initiation of Non-Cash Payment 00primary employing institution initiates the non-cash voucher, which is then forwarded to the secondary employing institution for completion.
SDBOR Shared Employee Agreement/Jan 2003
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file time: 2008-02-16
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