This Form Is to Be Used to Process Payments in Accordance with the Offshore Teaching

This form is to be used to process payments in accordance with the Offshore Teaching Remuneration Guidelines and the Remuneration and Reward Policy HR-28.0 and associated guidelines.

LAST NAME: / FIRST NAME:
EMPLOYEE ID: / POSITION TITLE:
DIVISION/PORTFOLIO: / UNIT/SCHOOL/INSTITUTE:
COURSE:
DATES:
ONE OFF TAXABLE ALLOWANCE (ab51) / $
COURSE:
DATES:
ONE OFF TAXABLE ALLOWANCE (ab51) / $
COURSE:
DATES:
ONE OFF TAXABLE ALLOWANCE (ab51) / $
TRAVEL BOOKED VIA UNISA TRAVEL TEAM: / YES  NO  / OFFSHORE TRAVEL RISK MANAGEMENT FORM (WHS14) COMPLETED: / YES  NO 
COST CENTRE: / AD / PD* __ __ - __ __ - ______- 0408
(PD only) / *Payments to PD Funds require Head of School and Senior Business Manager (ITEE employees only) approval.

Salary Sacrifice Offshore Teaching within Workload Payment - Salary sacrifice may be available to staff who have completed a Salary Sacrifice AgreementOne-off Payments form(HRIS 052) prior to commencing any offshore teaching activity. For further information please contact the University’s Superannuation Consultant - . The questions below must be completed by the staff member:

IS THE PAYMENT TO BE SALARY SACRIFICED: / YES  NO  / AMOUNT TO BE SALARY SACRIFICED / $
SUPERANNUATION FUND:
STAFF MEMBER SIGNATURE - by signing below you are certifying that all details above are correct
STAFF MEMBER SIGNATURE: / DATE:
AUTHORISATIONS – IMPORTANT only forms with an appropriate authorisation can be processed
Senior Business Manager Signature: (ITEE EMPLOYEES ONLY) / DATE:
Authorising Officer Position
(as per VC Authorisation)
Authorising Officer Name
Authorising Officer Signature / DATE:
Local PTC Officer Name / EXT:
Local PTC Officer Signature / DATE:

All forms must be signed by a People, Talent and Culture representative and then forwarded to Payroll Services or Division Finance for processing.

This form is to be used to process payments in accordance with the Offshore Teaching Remuneration Guidelines and the Remuneration and Reward Policy HR-28.0 and associated guidelines.

Employee ID: / Division/Portfolio:
Employee Name:
Position Title: / Unit/School/Inst:

Cost Centre: AD / PG / SR / TN / PD __ __ - __ __ - ______- 0409

( PD only )

Course:______

______Dates:______

Estimated hours worked______

(Compulsory field)

One off taxable allowance (ab55)$______

Course: ______

______Dates:______

Estimated hours worked______

(Compulsory field)

One off taxable allowance (ab55)$______

Salary Sacrifice Offshore Teaching Within Workload Payment

(To be completed by the staff member or nominee)

Salary sacrifice may be available to staff who have completed a Salary Sacrifice Agreement One-off Payments form (HRIS 052) prior to the commencement of the offshore teaching activity. For further information please contact the University’s Superannuation Consultant.

Is the payment to be salary sacrificed?YES NO 

Amount to be salary sacrificed $______

Superannuation Fund ______

STAFF MEMBER or NOMINEE SIGNATURE (By signing here you are certifying that all details above are correct)
______
Staff Member of Nominee’s SignatureDate
AUTHORISATIONS – IMPORTANT only forms with an appropriate authorisation can be processed
Head of School/Research Institute Director/relevant Manager (please print your name)
Head of School/Research Institute Director/relevant Manager (signature)
Local HR Officer Signature
Local HR Officer Name and Contact Ext:
Date

All forms to be signed by a local HR Officer and then forwarded to payroll for processing