UOW
GENERAL STAFF
OVERTIME CLAIM FORM
Employee Details
Unit
Employee No
Title
DOB
Last Name
First Name
Job No
Work Status
     
I have worked the following approved overtime during the period ending
Day/Month
Overtime
 
Personnel Services Use Only:
Day
Date
Call Out Y/N
Start
Finish

Total Hrs (1)

Meal Break (2)

Hrs Worked ((1)-(2))
1 1/2
2
Other
Total
Mon
Tue
Wed
Thur
Fri
Sat
Sun
Mon
Tue
Wed
Thur
Fri
Sat
Sun
     
TOTAL
 

 

 

 

Car Allowance
Refer to clause 46.1 of General Staff Enterprise Bargaining Agreement.
Code AKIL0
Ledger Number
 
Object 6515
Amount Claimed
 
 
Meal Allowance
Refer to clause 46.3 of General Staff Enterprise Bargaining Agreement.
Code AML01
Ledger Number
  
Object 6640
Amount Claimed
  

 

Election by Staff Member
Please note: a correct Account Number must be provided to ensure prompt payment.
I wish to be paid/credited:
   

Employee Signature

  
  ________________________________________
     
I certify that this overtime was worked with my prior knowledge and consent. This work is to be charged to account no.
  A/C No. Must be quoted by department.

Head of Department/Unit

Authorised Signature:

 
  _________________________________________
 
NOTE: Time credit will be formally recorded by Personnel Services Division and may be availed of only by completing a leave application.
 
PER-SS-FRM-018 General Staff Overtime Claim Form 2007 Jan