Request for a one off additional payment to member of staff
This form should be completed when you need to make an additional payment to a member of academic,
research or related staff. It should not be used for bonuses or honorariums or for clerical/technical/manual
overtime.
Once authorised within the School, please send the form to the Research Office if the payment is being
made from a research or services rendered account (internal order numbers beginning 5 or 6) or to the
Payroll & Pensions Office (A124) for all other accounts. Please ensure they receive it at least a week
before the payroll deadline (10th of month).
School / Portfolio
Information Services Infrastructure & Operations
Name
Employee No:
Amount (£)*
additional payments are non-pensionable
Employers National Insurance will be added and charged to the Cost Centre / Internal Order
Cost Centre/Internal Order: KT001 6050
Reason for payment
I would like the above named member of staff to receive this additional payment.
Authorised Signatory
Name
Date
Research Office use only
Passed to Payroll and Pensions:
Signed
Date
Additional_payment.doc Oct 04