AA2Schools Form: Amendment to Existing Appointmentsversion 1.3 issued 20/6/09

* / Denotes a Mandatory Field. Failure to complete any of these fields will result in the form being returned to you and it will not be possible to process any of the data on this form
Check boxes ( ) are to the right of each option for selection
For fields that are not mandatory: Only complete where there is a change /
* / Schoolname
* / SchoolDCSF No.& status / DCSF No. / Status: / LBA (Local Cheque) or CPS
* / Employee assignment No.
* / Last Name
* / First Name
* / Effective date of change / Date format DDMMMYYYY
Adjusted (previous) service / Refer to guidance for scenarios impacting service
* / Reason for change(s)
Employee category / Permanent / Temporary / Fixed Term / Casual/Relief
Assignment category / Full Time / Part Time / As and When (Relief)
* / Position Title
Schoolsin a fringe area / Enter Y if school is in a fringe area
Grade details / Grade appointed at (e.g. Band 2)
Max grade for this position (e.g. Band 2 mid point)
Salary point details / Actual salary point to be paid (e.g. pt 12)
Actual Full time equivalent annual salary / £
Max Salary point for this position (e.g. pt 14)
Schools own rates / Annualfull time equiv / £ / Or Hourly rate / £
Hours per week (decimalised) / Non Teaching staff only: Enter Casual /Relief staff as NIL
Teachers full time equivalent / Enter %: Enter Casual /Relief as NIL
Paid weeks per Year / Non Teaching staff only: Enter Casual /Relief as NIL
Local sick entitlement only / Select the annual sick entitlement / NIL / 5 days / 10 days
Appointment review date / Date format DDMMMYYYY
Fringe: non teaching staff only: Enter Inner or Outer
TLR: teachers only: Full time Equiv ’ Annual value / £ / End date or to cease enter delete
R&R: teachers only: Actual annual value / £ / End date or to cease enter delete
Other allowance or deduction / Element name
Actual annual value / £ / End date or to cease enter delete
Expenditure code / Expenditure code must be 12 Digits
* / Authorised signature / I certify that all mandatory fields are completed & correct.
* / Contact telephone No. / * / Print Name
* / Date form signed / Date entered on School Computer System (e.g. SIMS)
All data will be kept in line with the Data Protection Act : Boxes belowFor EP&C use only
Input By:(Signature): / Date: / Checked By: (Signature):: / Date:

Please return the completed form to: EssexCounty Council, Schools Payroll Service Team, PO Box 11, County Hall, Chelmsford, CM1 1LX