Professional Documents
Culture Documents
Change of Circumstance Form
Change of Circumstance Form
*Reason for extension of fixed term contract: To finanlise closeout activities for ECRP
SECTION 4
Authorisation:
Signed by Head of team/division: Print name: Date:
Signed by budget holder (if different from above): Print name: Date:
Signed by Director (only required if it is a fixed term contract being made permanent):
Print name: Date:
HR and Payroll Use Only:
Signed HRSO: HRIS updated: Date: Signed HRA : Date:
HYPO: Home-working: Salary: O/S Salary: OS Salary NT:
Permanent Basic salary Basic salary (pro rata, pa) Pensionable salary (pa) LA (pcm)
data: (FTE, pa)
Pro rata:
January 2014
Payroll Number:
January 2014