Form Hr 01- Application Form - Fees And Related Payments

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A4 complex template
Human Resources
FEES
and related payments for ad hoc work
Human Resources HR (01)
Submitting the form
This form is used to make a payment for
authorised incidental work you carry out on behalf
This completed and authorised form must be submitted
of the University which is liable for tax and/or
to the HR Department within four weeks of completing the
National Insurance deductions.
work. Any claims submitted after this period will not be paid
The maximum that can be paid (excluding expenses) using
under any circumstances.
this form is £833.
You must include receipts for all expenses that you have
Examples include:
told us about in your claim.
ad hoc work
The form will be returned to you if any details are illegible
helping at open days
or appear to be incorrect. Your claim will also be checked to
ensure it complies with the University’s Policies including
dissertation markers.
the Travel and Other Expenses, Benefits, Hospitality and
You can include details of expenses incurred in the course of
Gifts Policy.
this work, including:
This form cannot be used for: student demonstrators,
local, national and international travel.
consultancy payments, external visiting lectures, royalty
General guidance
payments or those that are self-employed. A separate
claim form is available on the HR website.
The next page contains information to help you fill
Any questions? Please call HR Operations
in the form.
on 0118 378 8751 if you need any assistance.
Sections A and C are for information about the work
undertaken.
Sections B, D to I are for the worker to complete.
You should sign the form on this side. The form must then
be signed and authorised before it is passed to the HR
Office (room 110 Whiteknights House).
1

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