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Overtime Claim Form: Mon Tues Weds Thurs Fri Sat Sun

An overtime claim form requires employees to provide details of overtime worked including name, employee number, dates, times and nature of work. It must be signed by the employee and authorized signatory to confirm overtime hours. Notes explain the form must be fully completed and signed to ensure processing without delay, and overtime is normally only agreed for covering vacancies, sickness or additional workload with external funding.

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Hassan Salama
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48 views2 pages

Overtime Claim Form: Mon Tues Weds Thurs Fri Sat Sun

An overtime claim form requires employees to provide details of overtime worked including name, employee number, dates, times and nature of work. It must be signed by the employee and authorized signatory to confirm overtime hours. Notes explain the form must be fully completed and signed to ensure processing without delay, and overtime is normally only agreed for covering vacancies, sickness or additional workload with external funding.

Uploaded by

Hassan Salama
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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OVERTIME CLAIM FORM

Please complete in Block Capitals


Title

Surname

Initials

School/Directorate

Employee Number

Month Ending

Nature of overtime work:

Reason for Employment (eg Vacancy)

see notes for

guidance attached.

Current work pattern (e.g. 0900-1700):


NB: if more than one work pattern is worked during period of overtime please clarify on a separate sheet
and attach to claim with dates.

Mon

Tues

Weds

Thurs

Fri

Sat

Sun

Please quote the CODE and NAME of the account you are working for: _________________
Day
overtime
worked

Date
overtime
worked

From
(Time)

To
(Time)

Total normal
contracted hours
worked during that
week

Total
Overtime
hours worked
during that
week

School/
Department
(Where
Overtime
Worked)

Signed (Employee) ____________ Certified Correct by HOS/D __________ Date ______

or

Other Authorised Signatory _________ Date _____


Authorised by HR _________________________

FOR OFFICE USE ONLY


HOURS

RATE ()

TOTAL

NOTES FOR COMPLETION OF CLAIM FORM


In order to ensure claims are processed without delay please note the following:

All sections for the claim form must be completed.

The claim form must be signed by both the employee undertaking the overtime and
countersigned by the Head of School/Director or another authorised signatory.

Overtime is normally only agreed by the Directorate of Human Resources for the
following reasons:

Cover for a vacant post


Cover for a long term sickness
Additional workload where external funds are available to fund the
overtime*

* If the claim is to be funded by external funds the code must be included in the
appropriate space on the form.
* All claims must be submitted to the Directorate of Human Resources by 12.00 noon
on the 10th of the month in which it is to be paid.

Version Jun2008

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