University College Dublin
Hourly Paid Work Claim Form: Part Time Library
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Please complete an Hourly Paid Set-up Authorisation Form (www.ucd.ie/hr/forms) if this is your first claim,
otherwise your claim cannot be processed.
Claims for work carried out on a Sunday should be completed on the Sunday Premium (Hourly Paid Form).
www.ucd.ie/hr/forms. The premium is Time and a Quarter and applies to rates of pay which do not have a full
time equivalent.
Please note that Payment will be withheld if a PPS number has not been supplied.
The Organisation of Working Time Act 1997 limits the maximum average working week to 48 hours. Weekly
working time can be averaged out over a 4-month reference period.
Heads of School or Unit should ensure that all approved forms are returned to the Compensation and Benefits
Section by the following deadlines: Weekly Claims: Wednesday @ 5pm for payment the following week. Monthly
Claims: 3rd of the month. If the 3rd falls on a weekend day, claims received first post Monday will be processed.
(Exceptions December and February: Deadline is the 1st).
Claims must be made within one month of the date on which work was performed.
Payment will not be made on incomplete or photocopied forms. These will be returned.
To be completed by the Employee
Personnel
Number:
P
School /
Unit: _______________________
Forename(s):
_____________________________
Work Performed
(please tick)
Surname:
_____________________________
Code
Position
Existing Library Assistant:
103
0036_X 0036XI

0035_X
New Entrant - Library Assistant:
103
0036_X 0036XI 
0035_X
Pay Frequency:

0035XI

0035XI
 Monthly 
Weekly
Other (please specify rate & description of work):
Hours Worked: Please enter hours per week – Week ending Friday when the work has been completed.
Legislation requires an employee to take a paid break of 15 minutes after a 4.5 hour work period. If working
more than 6 hours, an unpaid break of 30 minutes should be taken.
Please note that hours claimed must reflect actual hours worked (excluding breaks).
Code
(see above)
Hours Worked
Week Ending Friday
Rate
(see overleaf)
Pension Related Deduction
Are you a member of a Public Service Pension Scheme, entitled to a benefit under a public service pension
scheme or receive a payment or allowance in lieu of membership of a public service pension scheme (other
than a UCD Pension Scheme)? Please tick as appropriate.
Yes 
No 
If Yes, please complete the Pension Related Deduction Declaration Form available for download on
http://www.ucd.ie/hr/forms/. If Declaration Form already submitted, please sign claim form and return for
payment.
Employee signature: ______________________
Date: ____/______/_______
To be completed by Head of School / Unit
Cost Centre / Grant Code
Authorised for Payment (Head of School / Unit):
Authoriser (BLOCK CAPITALS)
Date:
Contact Phone Number for queries
______________________________________________
To be completed by UCD Human Resources
Authorised for
Processing:
Date:
Details Checked
CORE Input
Grade
____/____/____
Data Check
PRSI Weeks Override
Position Code
Point
Rate (€)
0036_X
1
Beginning at €12.26
0035_X
1
Beginning at €17.50
Library Assistant3
0036XI
1
Beginning at €11.03
Assistant Librarian4
0035XI
1
Beginning at €15.75
2010 Rate
Library Assistant1
Assistant Librarian
2
2011 Rates
2013 Rates (Claimants commencing work for the 1st time from 1ST July 2013)
Library Assistant5
0036_X
1
Beginning at €12.09
Assistant Librarian6
0035_X
1
Beginning at €17.26
Library Assistant
0036XI
1
Beginning at €10.88
0035XI
1
Beginning at €15.53
7
Assistant Librarian8
1
Library Assistant Hourly (2010) - Position Code 0036_X €23348 / 52.18 = €447.45 / 36.5 = €12.26 per hour
Assistant Librarian Hourly (2010) - Position Code 0035_X €33326 / 52.18 = €638.67 / 36.5 = €17.50 per hour
2
3
Library Assistant Hourly (2011) - Position Code 0036XI €12.26 x 10% = €1.23 €12.26-€1.23 = €11.03 per hour
Assistant Librarian Hourly (2011) - Position Code 0035XI €17.50 x 10% = €1.75 €17.50-€1.75 = €15.75 per hour
4
5
Library Assistant Hourly (2010) - Position Code 0036_X €23348 / 52.18 = €447.45 / 37 = €12.09 per hour
Assistant Librarian Hourly (2010) - Position Code 0035_X €33326 / 52.18 = €638.67 / 37 = €17.26 per hour
6
7
Library Assistant Hourly (2011) - Position Code 0036XI €12.09 x 10% = €1.21 €12.09-€1.21 = €10.88 per hour
Assistant Librarian Hourly (2011) - Position Code 0035XI €17.26 x 10% = €1.73 €17.26-€1.73 = €15.53 per hour
8