locum meds timesheet

 

 

 

 

locum meds timesheet

 

 

Time Sheet

Section 1 – Please print details in block capitals. Email on completion to timesheet@locummeds.co.uk

Candidate Details:

First Name: ____________________________________ Surname: _______________________________________________

Client Details:

Name: ________________________________________ Site (if applicable): ______________________________________

Section 2 - To be completed by the Candidate

Please note that we can only accept one timesheet per week for each organisation that you work at. We advise that you have your

timesheet completed on your last working day of the week (MONDAY to SUNDAY).

BREAK BREAK Total Hours

Date Start Time Finish Time Start Time Finish Time Worked

Monday

Tuesday

Wednesday

Thurs day

Friday

Saturday

Sunday

Totals

I declare that the information I have given on this form is correct and complete and that I have not claimed elsewhere for the hours/shifts detailed on this

timesheet. I understand that if I knowingly provide false information this may result in disciplinary action and I may be liable to prosecution and civil

recovery proceedings. I consent to this disclosure of information from this form to and by any Locum Meds authorised body for the purpose of verification

of this claim and the investigation, prevention, detection, and prosecution of fraud.

Section 3 - To be completed by the Client – Senior Member of Staff Authorised only

I am an authorised signatory of the above named client. I am signing to confirm that the Job Profile Title and Band of Agency Worker and the hours/shift that I am

authorising are accurate and I approve payment. I understand that if I knowingly provide false information this may result in disciplinary action and I may be liable

to prosecution and civil recovery proceedings. I consent to the disclosure of the information from this form and by any Locum Meds authorised body for the

purpose of verification of this claim and the investigation, prevention, detection and prosecution of fraud. I understand and agree to Locum Meds Terms of

Business http://www.locummeds.co.uk/2018-locum-meds-introduction-services-terms-conditions/ A fee will be charged (accordingly to our terms and conditions)

if the Candidate is poached by the client or another agency (to work for the client) without our permission or consent.

Authorising Signatory Name Signed

Position Date

 

Download Free