Payroll Reference Number
Directorate
CASUAL EMPLOYMENT CLAIM FORM
School
(please tick as appropriate)
Directorate / School Name / Service Area / Team Name
PLEASE COMPLETE IN BLOCK CAPITALS
Title e.g.
Surname
First Name
Mr/Mrs
Claim for the month of:
Day
Date
Year
Hours Worked
From
To
Break
From
To
Total
Hours
(deduct
break)
MON
TUES
Home
Address
and
Postcode
WED
THU
FRI
SAT
Is this a change of address since your last claim ? Yes/No
SUN
MON
This form should not be used for Teaching work
TUES
Please supply this information on every claim
WED
Date of Birth
THU
…….……./…….……./……..……
FRI
National Insurance No |
|
|
|
|
|
|
|
|
|
SAT
If Social Work please state Social Work registration number.
SUN
No:
MON
TUES
1.
Is this a FIRST Casual Claim
Yes/No
WED
If yes please answer the following questions, failure to do so will
cause a delay in processing the payment
THU
2.
SAT
If you are presently employed by Oxfordshire County
Council please state where and in what capacity.
................................................................................................
FRI
SUN
MON
................................................................................................
TUES
3.
WED
Have you previously been engaged/employed by
Oxfordshire County Council? Please state where, and
dates of service.
................................................................................................
................................................................................................
4.
If you have a form P45, please staple it to the claim. If not,
see notes overleaf.
THU
FRI
SAT
SUN
MON
TUES
You have the option to join the Local Government
Pension Scheme. Please see paragraph overleaf.
WED
Reason for engagement/employment e.g. sickness cover:
THU
FRI
SAT
SUN
Nature of engagement/employment e.g. Admin, Teaching Asst
TOTAL NO. OF HOURS
Hours/Sessions/Days
Pay Grade & Point of post
being covered *
Office Use Only - Total (£)
* Employee Signature
Date:
* Certified signature:
* Where this claim relates to cover for an established post the grade and point must be in
line with the evaluated grade of the post. In exceptional circumstances where the work
is not cover for an existing post and lasts for no longer than 12 weeks please enter rate of
pay (£) instead. Work lasting more than 12 weeks must be evaluated.
Print name:
Job Title
Date
COST CENTRE CODE [Must be completed before sending to Pay and
Employment Information team]
%
INTERNAL ORDER (if applicable):
%
* Authorised signature:
Print name:
Job Title
Date
* Before signing you must read notes on the next page
SUBMISSION OF CLAIM AND PAYMENT
Claims will be paid only on a monthly basis, in arrears, (i.e. one payment per calendar month). If you are
already in receipt of a regular salary or wage from Oxfordshire County Council payment for this claim will
be added to the next appropriate payment. Payments include an element for holiday pay unless otherwise
notified.
Signatures
Employees must always sign the form. In some parts of Oxfordshire County Council it may be necessary
for both a certified and authorised signatory; in other parts one signature if both the line and cost centre
manager may suffice (e.g. Headteacher). Directorate managers should refer to the appropriate Scheme
of Delegation and Headteachers to the Schools Financial Manual of Guidance if they are unsure of
the appropriate signatory.
National Insurance Contributions
Failure to provide your National Insurance number may result in contributions not being credited to your
record by HMRC, which could affect your entitlement to benefits and pension. If you do not know your NI
number this can be obtained by contacting the National Insurance contributions Office on 0845 915 8582.
If you are a married woman in receipt of a current certificate of Reduced Liability, please staple certificate to
this claim. At present women aged 60 need not pay NI contributions, however between 2010 and 2020 this
will rise to age 65 to be the same as the current male exemption age (65). Any NI exemption certificate
must be attached to your first claim.
Local Government Pension Scheme
You have a right to join the Local Government Pension Scheme (LGPS). Your first contribution will be
deducted from the first pay period following your opt in [there will be no option to backdate]. If you would
like to consider joining the scheme please see LGPS Membership pack on the intranet at Home>Staff>Pay
and Pensions>A basic guide to your LGPS or ask your Line Manager or Payroll Officer. If you decide to
elect to join the scheme you must complete the membership form, together with a nomination of beneficiary
form, and return to your Payroll Officer with your completed casual claim form.
If you have not already opted to join the LGPS in respect of your casual work then our policy for autoenrolment, as allowed by law, is to postpone for a period of 3 months from the commencement of each
period of work you undertake for us in this capacity. Each casual claim is classed as a separate period of
work.
Income Tax
If you do not have a form P45 and you are not already employed by the Council, you must complete a P46,
which can be obtained from Pay and Employment Information. Either the P45 or P46 must be submitted
with your first claim otherwise you will be taxed at Basic Rate. If you are undertaking your last claim for the
Council please attach a note confirming this and your P45 will be sent to the address on this form unless
you state otherwise.
The address and contact details for the Council’s tax office are: HM Revenue & Customs, South Wales
Area (Oxford), Ty Glas, Llanishen, Cardiff, CF14 5YF. Quote PAYE Reference 075 A9000. Telephone
number: 0845 300 3948.
The Working Time Directive limits the amount of time a worker can work unless they have opted out. If the
amount of work you are undertaking exceeds 48 hours per week you are opting out of the regulations by
submitting this form for payment.
When to use this form and when to use an overtime claim form
Complete
Overtime
Claim
Form
Yes
Extra Work
at same
place and for
same job
No
Complete
Casual
Claim
Form
Contact us - Please return this form to: Pay and Employment Information, Oxfordshire Customer Services,
Unipart House, Garsington Road, Oxford, OX4 2GQ or contact us via e-mail at
payandempdirectorates@oxfordshire.gov.uk (Directorates) or or payandempschools@oxfordshire.gov.uk
(Schools) or telephone 0845 6054175.
We are always pleased to receive your comments and suggestions to improve our service.
Revised August 2014