RECEIVED
IN HR OPS
RECEIVED
IN FINANCE
RETURNED
TO HR OPS
UCL FORM 7 PAYMENT FOR A ONE OFF DUTY
Please note that in order for the payroll deadline to be met, this form must reach Human
Resources by the 8th of the month (or the nearest Friday).
PART A: Worker details.
Department:
Dept. Sub Unit:
Title: Prof
Dr
Mr
Mrs
Miss
Ms
Other
First Name(s):
Surname:
UK National Insurance Number
Date of Birth:
Required by Inland Revenue rules
Address for
payslip:
Post Code:
Telephone Number:
Payment will be made monthly in arrears by BACS
(Please provide your Bank Details: Without this information your payment cannot be processed)
Bank/Building Society:
Address
Sort Code:
Account Number:
B/SRoll Number:
Signature
Date
PART B: Department Use
Duties:
Start Date:
End Date:
Cost Centre Code
Amount to be paid (Please see page 3 for explanation
Rate:
Hours
Expenses:
Actua
l
Taxes and NI Certificates Attached:
P46
Gross
Net
Incl. Ers
Gross
Net
Incl. Ers
P46s
Student Tax Exemption
Age Exception
I confirm that this appointment has the Head of Department’s approval.
Authorised by:
Date:
Extension:
Name (CAPITALS please):
PART C: For Office Use Only
HR ACTION
PAYROLL ACTION
Person No.
Batch No:
PAYMENT PROCESSED
Actioned By:
Actioned By:
Actioned By:
Date:
Date:
Date:
CONFIDENTIAL
EQUAL OPPRTUNITIES CLASSIFICTION FORM
Surname:
First Name(s):
Date of Birth:
Department:
UCL has a commitment to ensuring that external workers are engaged on the basis of merit,
regardless of ethnic origin, sex or disability. Monitoring enables us to see what is happening in
practice, to assess the impact of our equal opportunities policy and its implementation, and to set
any targets for improvements, and measure and publish progress. To enable us to do this, and to
make the exercise successful, we rely on all workers to supply the following details, which will be
treated in the strictest confidence. Once we have updated our database with this information we will
destroy all completed forms. In order to ensure confidentiality please fold the form in half and
staple.Thank you for your co-operation.
Choose the appropriate box to indicate your cultural background.
Ethnic Group
White – British
White – Irish
White – Other
M/R White & Black Caribbean
M/R White & Black African
M/R White & Asian
Mixed Race - Other
Asian/Asian British-Indian
Asian/Asian British-Pakistani
Asian/Asian British-Bangladeshi
Asian/Asian British-Other
Black/Black British-Caribbean
Black/Black British-African
Black/Black British-Other
Chinese
Any Other
Information refused
Sex
Male
Female
Nationality
Do you have a disability?
('A physical, sensory or mental impairment which has a substantial and long-term adverse
effect on (a person's) ability to carry out normal day-to-day activities' (defined by the
Disability Discrimination Act 1995)
Yes
No
PAYMENT CALCULATION
Please tick the appropriate box on the form to indicate the payment calculation required.
GROSS
This is the amount due to the payee (the person to receive payment) before any deductions are
made for tax and National Insurance (NI)
Payment will be made gross and the payee will pay have tax and NI where appropriate.
Department’s charge: FEE/EXPENSE + ERS NI
e.g. £500 plus £64 (ERS NI @12.8%) Total £564
Payee will receive £500 less Tax and NI. Estimated net £378
NET
The payment will be increased to cover the payee’s tax and NI so that the payee will receive(‘take
home’) the full fee/expense stated on the form
Department’s charge: FEE/EXPENSE + PAYEE’S TAX & NI + ERS NI
e.g. £500 plus £122 plus £64 Total £686.
Payee will receive £500
INCL. ERS (inclusive of all employers payroll costs)
This box should be ticked when the employer has a set amount of money which should cover the
fee/expense and the employer’s NI. Payee would pay their own tax and NI where appropriate.
e.g. Total amount available £500.00
Employer’s national insurance = £57.00, therefore Fee = £443.00
Department’s charge: FEE/EXPENSE + ERS NI
e.g. £443 plus £57 Total £500
Payee will receive £443 less Tax and NI. Estimated net £342
All these figures are for illustration purposes only as they will vary dependant on the tax and
NI status of the employee.
COST CENTRE CODE
The current payroll system requires an 8 character cost code.
The eight digits required are: The Account Code (4 characters)
The Source Code (1 character)
The Analysis Code (3 characters)
Popular Analysis Codes
5A0 - Non Clinical Academic
5A1 - Clinical Academic
5A2 - Part-Time Teaching
5A3 - Tutorials
5A4 - Visiting Lecturers
5A5 - Examiners Fees
5AE - Academic Related
5AU - Student Demonstrators
5B0 - Technical Staff
5C0 - Clerical Staff
5C3 - Non Student Casuals
5C4 - Miscellaneous Casuals
5C9 - Student Assistants