Employee Full Name
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E-mail
*
example@example.com
Hospital / Site name
*
Department
*
EG: Emergency / O&G etc
Week ending date (Please select Sunday)
*
HOURS WORKED THIS WEEK (EITHER HOURLY OR DAILY RATE)
*
DATE (e.g.180416)
Rostered START TIME (e.g.1700)
Rostered FINISH TIME (e.g.2300)
ROSTERED HOURS
APPROVED OVERTIME
BREAKS 30min =0.5
Total Hours less breaks
Pay rate
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Rostered Hours
Approved Overtime
Breaks
Hours to be paid
Comments
All overtime hours must have notes added here
Upload Tax Invoice for ABN payments / Travel Reimbursement claims
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