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									PART-TIME LECTURER’S CLAIM FORM
Please Tick:  Claim for all hours worked by a Temporary Part Time Lecturer paid on a claims basis  Claim for additional hours worked by a Part Time Lecturer on an open ended contract

PLEASE COMPLETE PERSONAL DETAILS BELOW IN BLOCK CAPITALS. PLEASE USE THE RATE FOR TEACHING AS HOURLY RATE (DO NOT INCLUDE HOLIDAY PAY ELEMENTS).

SURNAME: PAY REF: RESOURCE CENTRE: POST TITLE: Hours Worked Hourly Rate Date(s)

FORENAME: NI NO: SCHOOL: SBC: (This MUST be completed) Course/Module Description Amount Claimed

Total Hrs

Total Amount Date…………………. Date………………….

Claimant’s Signature………………………………………………… Authorised signatory for payment ……………………………………

Name in Capitals………………………………………………………………………………….
RESOURCE CENTRE USE ONLY (Checked in Resource Centre Office) Signed……………………………………………………………… Date………………….

Please note change of address / bank details should be notified to payroll separately in writing.
PAYROLL USE ONLY - CAN BE USED AS UNITS OR CASH. UNITS MUST SELECT RATE. FOR CASH PICK CASH FROM DROP DOWN LIST.

PAYROLL CODE
814A 814B 814C

NUMBER OF UNITS
26.70 22.75 16.65

AMOUNT IN CASH

Input 814a,b,c and units against P/T post. Click on rate and apply. Add hol & leeds met holiday will automatically be paid. These are attached to post. Take care to attach claims to relevant P/T post.
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MONTH

October 2005 November 2005 December 2005 January 2006 February 2006 March 2006 April 2006 May 2006 June 2006 July 2006 August 2006 September 2006

REQUIRED IN PAY DATE RESOURCE CENTRE BY 4:00pm ON 01 October 2005 26 October 2005 01 November 2005 01 December 2005 01 January 2006 01 February 2006 01 March 2006 01 April 2006 01 May 2006 01 June 2006 01 July 2006 01 August 2006 01 September 2006 26 November 2005 20 December 2005 26 January 2006 25 February 2006 24 March 2006 26 April 2006 26 May 2006 24 June 2006 26 July 2006 26 August 2006 26 September 2006

When submitting claims please ensure that sufficient time is allowed for the claim to reach your Resource Centre by the above deadline.

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