Payroll Hours Submission form for RCT and Vale of Glamorgan

Please ensure all fields are fully completed and accurate before submitting, any errors will not be able to be rectified once submitted and may result in incorrect payslips being processed.

Your Direct Payments reference number:

Employers Name

Payroll Period

Please select the payroll frequency ( please choose ONE of the corresponding dates below) (required)

2 Weekly4 WeeklyMonthly

If monthly please indicate which month the submitted hours will relate to:

If 4 weekly please indicate which period the submitted hours will relate to:

If 2 weekly please indicate which period the submitted hours will relate to:

Please tell us which PA’s you are submitting hours for:

Please submit hours worked in the following format:

X Day hours at £XX
X Night Shift at £XX
X Night Hours at £XX
X Bank Holiday at £xx

Any Annual leave can be entered in the separate box provided (please indicate which hours the leave hours relate to) eg. day hours, night hours etc.

PA 1

PA 1 Name

Please enter the total hours PA 1 has worked and at what rates of pay. eg. X day hours at £XX per hour. Please use a new line if entering more than one rate of pay.