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Sickness Absence Report Form

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Acting Up and Honorarium Authorisation Form

Form Number F212



Please read the information on PeopleNet which explains the eligibility requirements

and conditions relating to Acting Up and Honorarium Payments. Payments are subject

to tax, national insurance and pension deductions.



Employee Personal Details

Mr Mrs Miss Ms Other:

Full Name

Post Title:

Address:



Department:





Place of Work:

Telephone number:

Payroll Ref Number:

Email address:



Manager’s Name: Telephone Number:





Is this a request for an extension of an existing payment? Yes No



A. Acting Up Payment

Where an employee is required to undertake the full duties and responsibilities of a higher

graded post for a continuous period of at least four weeks, they are entitled to the salary in

accordance with the grade of the post that they are currently working in on a temporary basis.

Please indicate reason for payment:

a) Temporary filling of a post until a substantive appointment can be made

b) Covering a key post while another employee is on maternity leave

c) Covering a key post due to sickness absence

d) Covering other temporary extended leave arrangements such as unpaid leave,

secondments etc.

e) Other (provide reason):

Start Date: / / End Date: / /

Where there is no end date then there should be a monthly review of the arrangement.

Post that the cover is being provided for:

Postholders Name:

GR No of Post:

Payment Amount : £

Monthly amount OR One off payment

Pay the difference between spinal column point and spinal column point ,

taking future increments and pay awards into account.

Issue Number: 25 Page 1 of 3

Approved by: Head of HR & OD

Date: 21 July 2011

B. Honorarium Payment

An honorarium payment represents an increase in the level of responsibility that an employee is

carrying out on a temporary basis for a continuous period of at least four weeks, but not covering the

full role.



Please indicate reason for payment:



a.) Covering short term absence in key posts, i.e. sickness

b.) Departmental reorganisations/restructurings where employees have been carrying

out revised duties prior to the new structure/grades taking formal effect.

c.) Other (provide reason):





Please detail the additional duties being undertaken, and the post title and the

GR number of the job that the duties are part of. If the duties are part of a new

job, or have not been evaluated, the duties can either be listed below, or a new

job description attached. The grade appropriate to the duties/job will be

determined by the Job Evaluation Team and the outcome will be shared with

the line manager. (If the GR number is not known, then contact HR Direct)



Post Title:

GR No of Post:

Duties:









Start Date: / / End Date: / /



Issue Number: 25 Page 2 of 3

Approved by: Head of HR & OD

Date: 21 July 2011

Where there is no end date then there should be a monthly review of the arrangement

What proportion of the employee’s time is being spent on the additional duties? %

The form should now be sent to the HR Reward Job Evaluation Team in Room 130,

County Hall, Martineau Lane, Norwich, NR1 2DH





To Be Completed by the HR Reward Job Evaluation Team



Comments and Action Taken:









Signed: Date: / /



Payment Amount : £

Monthly amount OR One off payment





Cost Centre Subjective Code Further Analysis







Requested by

Signature of Line Manager:

Date: / /

Print Name:

Signature of Head of Service:

Date: / /

Print Name:



Authorisation

Signature of Head of HR:

Date: / /

Print Name:



Once this form is complete, please return to the HR Shared Service Centre, County Hall

- Charles House, Martineau Lane, Norwich, NR1 1DJ.





Issue Number: 25 Page 3 of 3

Approved by: Head of HR & OD

Date: 21 July 2011



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