(FORM "B")

O/P Notification;

Employee NAME and NUMBER is in LOC cost center XXXX/XXXX and is overpaid <AMOUNT> due to <REASON>.

If the employee requests payments, the payment amount is <AMOUNT> per check.

Our fax number is ICS 918-254-7439.

*Please note: UPON RETURN, failure to make an election within 2 pay periods (4 for weekly), will be deemed a rejection of each and every method of repayment.  In that situation, Company practice currently dictates that we recover the entire overpayment on the third pay period.

Upon Return:

Employee NAME and NUMBER is in LOC cost center XXXX/XXXX and is overpaid <AMOUNT> due to <REASON>.  They returned from an LOA eff <DATE>.

If the employee requests payments, the payment amount is <AMOUNT> per check.

Payroll must receive the completed form by fax on <DATE> to ensure overpayment does not impact the <DATE> check.

Our fax number is ICS 918-254-7439.

*Please note: UPON RETURN, failure to make an election within 2 pay periods (4 for weekly), will be deemed a rejection of each and every method of repayment.  In that situation, Company practice currently dictates that we recover the entire overpayment on the third pay period.