Personal Assistant Hour

Notification Form
Month _______ 20_____

Employer Employee Personal identity code

Only fill in the hours for one month. To be completed with an accuracy of 15 minutes (8:00, 8:15, 8:30...)
Code 5035 5201 5341 5596
Date Working Working Total hours Evening Saturday Sunday What the assistant was used for
day day ended worked working working working
started at at hours hours hours
from 6
p.m. to 11
p.m.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total days worked Total hours worked

End of employment ____ /____ 20____

City of Turku, 3.2021

____ /____ 20____ ________________________________ _______________________________________

Signature of employer Signature of employee

Hourly notification form is returned to: City of Turku/Services for the disabled