Pay Claim Return Form Teacher Name* Pay Claim Period* Teacher Email Address* Is your pay claim correct?*No, my pay claim requires some amendmentsYes, my pay claim is correct - please process accordinglyMissed LessonsLessons Missed due to TEACHER ABSENCEPlease use the plus button to add details of further missed lessons. Replacement lessons can be detailed below.SchoolDateReason SicknessTransportation problemsChildcareSevere Weather (school closed)Leave agreed by manager Lessons CANCELLED BY SCHOOL with INADEQUATE NOTICEPlease use the plus button to add details of further missed lessonsSchoolDateReason Lessons CANCELLED BY SCHOOL with ADEQUATE NOTICE If you believe that a lesson has been cancelled with adequate notice (i.e. with a minimum of 10 working days' notice to the Severn Arts Office) and is not detailed on your pay claim, please contact us as a matter of urgency.Replacement LessonsLessons missed due to CANCELLATION with ADEQUATE NOTICE or TEACHER ABSENCE may be taught as an additional session at a time mutually agreed between the teacher and school (NOTE: Lessons cancelled due to inadequate notice MUST NOT be made up). Please detail belowReplacement SessionsPlease use the plus button to add details of further replacement sessions.SchoolDate MissedReasonReplacement Lesson DateReplacement Lesson Time SicknessCancellation Adequate Notice from SchoolTransportation ProblemsChildcareSevere Weather (school open - teacher couldn't attend)Leave agreed by manager ChangesChanges to duration MUST be requested by the school via the 'Change to Tuition Form'. Office approval must be received prior to commencement.Changes to Tuition Day/Start TimeUse the plus button to add additional rowsSchoolDate of ChangeNew DayNew Start TimePermanent or one off Additional InformationNotesTravel ClaimTravel Options* I have travel expenses to claim for this period I have no travel expenses to claim for this pay period To download copy of the travel claim form (In Word . document format), please click on the following link : Travel Claim FormHiddenVOID - Attach Travel Claim File/Receipts13/08/20 - OLD FIELD (HIDDEN) : KEPT FOR THE RECORDS OF PREVIOUS PAY CLAIMS COMPLETED WITH SINGLE FILE ATTACHMENTSMax. file size: 50 MB.Attach Travel Claim File/ReceiptsPlease could you attach your completed Travel Claim form here together with your travel receipts (This can be separate files, if required) :- Drop files here or Select files Max. file size: 50 MB. DeclarationApproval* I verify that I have thoroughly checked my pay and travel claim and that the information provided on this form is a true and accurate account of the work that has taken place during this period.
