Weekly Overtime Claim Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please use this form to record overtime worked during the stated week. Overtime should be agreed in advance with your line manager.Record time in half-hour increments. Shorter periods may be combined across the week. Please do not include routine variations of only a few minutes.Staff DetailsName *FirstLastEmail *EmailConfirm EmailWeek commencing *Normal contracted hours per week *Overtime WorkedWhich day(s) did you work overtime?MondayTuesdayWednesdayThursdayFridaySelect number of additional hours for Monday *--- Select Choice ---0.51.01.52.02.533.544.555.566.577.58Select number of additional hours for Tuesday *--- Select Choice ---0.51.01.52.02.533.544.555.566.577.58Select number of additional hours for Wednesday *--- Select Choice ---0.51.01.52.02.533.544.555.566.577.58Select number of additional hours for Thursday *--- Select Choice ---0.51.01.52.02.533.544.555.566.577.58Select number of additional hours for Friday *--- Select Choice ---0.51.01.52.02.533.544.555.566.577.58Reason(s) for overtime *Staff absence or additional coverBreakfast or after-school provisionMeeting or trainingSchool eventAdministrative workPremises or cleaning workPupil supportOther – please specifyOther * Monday worked was Brief details of the work completed *Name of person who authorised the overtime *Was this agreed in advance? *YesNoIf not, why was it necessary?Payment informationTotal overtime claimed (hours) *Payment requested as *Overtime paymentTime off in lieuI confirm that the information submitted is accurate, that these hours were worked outside my normal contracted hours, and that the overtime was necessary and authorised or has been brought to my line manager’s attention. *ConfirmOvertime should normally be agreed in advance and recorded in half-hour units. Shorter authorised periods may be combined across the working week. Where the final weekly total falls between half-hour increments, it will be rounded up to the next half-hour. Routine early arrival, late departure or voluntary work that has not been requested or authorised should not be claimed.Submit
