Attendance Payments for Public Duties
Full Name
Department
I confirm that I attended:
Jury service
□
Witness
□
Other public duty
□
(Please specify)
Dates of Attendance:
From …………………….To…………………………...
I have received a total of £
in payment (excluding any travel and
subsistence expenses) and agree that this amount can be deducted from my
next salary payment.
I understand that this adjustment is made so that I do not suffer any financial
loss due to my attendance for public duty.
Signature:
(Employee)
Approved:
(Line manager)
Return to finance office
Date:
Date: