/ CASUAL EMPLOYMENT EXTENSION FORM (Academic) For Faculty/Portfolio Use Only
(Not To Be Forwarded to Payroll Services)
HR/ASE effective 05/14
1This form is to be used within Faculties / Portfolios to authorise the electronic extension of an existing period of academic casual employment and should be kept within the relevant Cost Centre. Do not forward to Human Resources.
2To complete electronically, simply tab from cell to cell.
3For administrative purposes only, and irrespective of the envisaged duration of the extension, the job details specified below will remain valid on the HR system for a period of 12 months from commencement. / For Faculty / Portfolio Office Use Only
Date Extension Entered:
Extension Entered By (Name):
Signature:
Casual employees should check bank account/personal details on the Employee Self Service before entering timesheets for payment.
PART A – DETAILS OF CASUAL EMPLOYEE
Title: / Family Name: / Given Names: / Payroll No: / Job No:
Postal Address:
Email Address: / Mobile No:
Faculty / Portfolio: / School / Division:
Unit / Discipline: / Located at (ie Bedford Park, FMC, Noarlunga etc):
State (where work is performed):
SA NT WA QLD NSW ACT VIC TAS Other:
Visa Restrictions - this section must be completed
Does staff member hold a visa?
YES / NOYESNO / If yes, indicate type and sub-class / What work rights are attached to the visa?
Important: If the casual employee currently has a Visa, please scan and email a copy of the Visa (plus passport photograph page) to so that HR can verify the employee’s work rights.
Note: Breaches of immigration regulations attract heavy financial penalties.
PART B – DETAILS OF EXTENSION
Extension Start Date: / Extension Estimated End Date:
//20 / //20
Note: A copy of the estimated work schedule for the semester (including estimated number of sessions/topic numbers) should be given to the casual employee and a copy held in the School/Division. The Estimated Work Schedule template (HR/EWS) can be downloaded from
url:
Salary Account Number(s) to be Charged:
Account Fraction / %
Account Fraction / %
PART C – AUTHORISATION
Supervisor
  • I confirm that the existing arrangements for electronic timesheet approval for this employee are to remain for this extension period.

Supervisor’s Signature: / Print Name: / Date:
Dean of School / Head of Division (orDelegate)
  • I approve the request to extend the casual employment of the staff member mentioned above and confirm that there are sufficient funds (including on-costs) to support this extension.
  • I acknowledge that the nominated Electronic Timesheet Approver will approve electronic timesheets on the Employee Self Service for this casual employee.

Dean of School / Head of Division Signature: / Print Name: / Date:

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