One-Time Payroll Payment Authorization (Form UPAY 564-2A)

PDF icon up5642a.pdf (62.3 KB)
Office spreadsheet icon up5642a.xls (44 KB)


Used primarily for FLAT dollar amount payments, such as HON, IAP, BYA or UNX. The form is intended to pay one-time payments outside of the employees normal earnings. It is intended to be both payment and authorization form.