Election to opt out of MyView Payslips To be completed by UCL staff ONLY if a paper payslip will be required. Please note all fields are mandatory Surname First name Employee Number Department UCL Telephone number UCL e-mail address Line Manager - Name Line Manager – Telephone Number Reason for requiring a paper payslip 1. Limited or no access to a UCL computer / printer 2. Required for statutory institution, such as The Home Office 3. Unable to use this type of technology 4. Further training on MyView required 5. Other valid reason – Please provide explanation below ___________________________________________________________________ I confirm that I wish to receive a paper payslip from Payroll and Pension Services; and that this election is valid for a period of 6 months. After this date the election will cease. If a paper payslip is still required a further election form will need to be submitted. Paper payslips to run from for a period of 6 months Signed Print Name Dated Please return to Payroll and Pension Services, Gower Street, London WC1E 6BT