Form AOC-A-227 "Request for Additional Payment to Judge or Justice for Work Performed for Another State Agency" - North Carolina

What Is Form AOC-A-227?

This is a legal form that was released by the North Carolina Court System - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2007;
  • The latest edition provided by the North Carolina Court System;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AOC-A-227 by clicking the link below or browse more documents and templates provided by the North Carolina Court System.

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Download Form AOC-A-227 "Request for Additional Payment to Judge or Justice for Work Performed for Another State Agency" - North Carolina

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REQUEST FOR ADDITIONAL PAYMENT
STATE OF NORTH CAROLINA
TO JUDGE OR JUSTICE
JUDICIAL BRANCH OF GOVERNMENT
FOR WORK PERFORMED
Administrative Office Of The Courts
FOR ANOTHER STATE AGENCY
INSTRUCTIONS:
The borrowing agency is responsible for originating this form in triplicate, using a separate set for each employee.
Unless special arrangements have been made for invoicing of the borrowing agency by the parent agency, the Borrowing Agency will
forward all copies of CP-30 to the parent agency, accompanied by their check for the employee's services as evidenced by their
completion of Section One below. Upon completing Section Two, the Parent Agency budget officer will send the original to his payroll
clerk as authorization to pay the borrowed employee his additional salary. The second copy will be filed by Parent Agency and the third
copy will be returned to the Borrowing Agency. It is the responsibility of the parent agency to avoid over-collection of matching social
security tax and/or under-collection of matching retirement.
CERTIFICATION BY BORROWING AGENCY
Name of Agency
Analysis of Payment to Parent Agency
(Fill in as Applicable)
Name of Employee
Salary for Services....................................
Nature & Location of Work Performed
S
*Travel........................................................
E
*Subsistence..............................................
C
T
Gross due Employee...........................
Dates Worked
I
Matching Retirement.................................
O
Matching Social Security...........................
Rate & Time if Appropriate
N
Indirect Expense.......................................
O
Agency Code and Subhead
Direct Cost................................................
N
E
Total Payment Due Parent Agency..........
Signature Of Contracting Agency Official
*Borrowing agency is assuming liability for accuracy and statutory
compliance for these items.
CERTIFICATION BY PARENT AGENCY
Name of Agency
We hereby certify that the actual work and the related
Name of Employee
travel time were both performed, in the case of a trial
judge, outside of the normal hours of operation of the trial
S
Classification, Rank or Title
courts and, in the case of an appellate judge or justice,
E
outside of time periods when the appellate judge or justice
C
Classification, Rank or Title
Social Security Number (Last Four Digits)
is scheduled to conduct sessions of oral argument inside
T
the appellate courtroom, in accord with the "Adjunct
I
Position Number
Subhead Code
Retirement Code
Teaching and Other Compensated Extra-Judicial
O
Instructional Activities" Guidelines approved by the Chief
N
Justice of the Supreme Court of North Carolina on 3
I certify that the above amount has been received from the
December 2002.
Borrowing Agency and deposited in our account. Pay employee
T
gross salary amount of $
in addition to regular
W
salary.
O
Employee
(This is for Payroll purposes and should not include travel and
subsistence.)
Immediate Supervisor
AOC-A-227, New 10/07
© 2007 Administrative Office of the Courts
REQUEST FOR ADDITIONAL PAYMENT
STATE OF NORTH CAROLINA
TO JUDGE OR JUSTICE
JUDICIAL BRANCH OF GOVERNMENT
FOR WORK PERFORMED
Administrative Office Of The Courts
FOR ANOTHER STATE AGENCY
INSTRUCTIONS:
The borrowing agency is responsible for originating this form in triplicate, using a separate set for each employee.
Unless special arrangements have been made for invoicing of the borrowing agency by the parent agency, the Borrowing Agency will
forward all copies of CP-30 to the parent agency, accompanied by their check for the employee's services as evidenced by their
completion of Section One below. Upon completing Section Two, the Parent Agency budget officer will send the original to his payroll
clerk as authorization to pay the borrowed employee his additional salary. The second copy will be filed by Parent Agency and the third
copy will be returned to the Borrowing Agency. It is the responsibility of the parent agency to avoid over-collection of matching social
security tax and/or under-collection of matching retirement.
CERTIFICATION BY BORROWING AGENCY
Name of Agency
Analysis of Payment to Parent Agency
(Fill in as Applicable)
Name of Employee
Salary for Services....................................
Nature & Location of Work Performed
S
*Travel........................................................
E
*Subsistence..............................................
C
T
Gross due Employee...........................
Dates Worked
I
Matching Retirement.................................
O
Matching Social Security...........................
Rate & Time if Appropriate
N
Indirect Expense.......................................
O
Agency Code and Subhead
Direct Cost................................................
N
E
Total Payment Due Parent Agency..........
Signature Of Contracting Agency Official
*Borrowing agency is assuming liability for accuracy and statutory
compliance for these items.
CERTIFICATION BY PARENT AGENCY
Name of Agency
We hereby certify that the actual work and the related
Name of Employee
travel time were both performed, in the case of a trial
judge, outside of the normal hours of operation of the trial
S
Classification, Rank or Title
courts and, in the case of an appellate judge or justice,
E
outside of time periods when the appellate judge or justice
C
Classification, Rank or Title
Social Security Number (Last Four Digits)
is scheduled to conduct sessions of oral argument inside
T
the appellate courtroom, in accord with the "Adjunct
I
Position Number
Subhead Code
Retirement Code
Teaching and Other Compensated Extra-Judicial
O
Instructional Activities" Guidelines approved by the Chief
N
Justice of the Supreme Court of North Carolina on 3
I certify that the above amount has been received from the
December 2002.
Borrowing Agency and deposited in our account. Pay employee
T
gross salary amount of $
in addition to regular
W
salary.
O
Employee
(This is for Payroll purposes and should not include travel and
subsistence.)
Immediate Supervisor
AOC-A-227, New 10/07
© 2007 Administrative Office of the Courts