Scribd Logo
Upload

Welcome to Scribd!

  • Monthly Forms For Staff Extra Duty - Allowance Claim

    Uploaded by

    Kimberly Chales
    47 views1 page
    This document is a monthly supplemental compensation form for a subrecipient working on an HIV response award in Tanzania. It requests information on employee names, days and hours worked, rates, and amounts owed. It also includes spaces for employees and supervisors to describe activities performed, sign and date to certify the reported hours and compensation requested.

    Original Description:

    Original Title

    Monthly Forms for Staff Extra Duty_allowance Claim

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a monthly supplemental compensation form for a subrecipient working on an HIV response award in Tanzania. It requests information on employee names, days and hours worked, rates, and amounts owed. It also includes spaces for employees and supervisors to describe activities performed, sign and date to certify the reported hours and compensation requested.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    47 views1 page

    Monthly Forms For Staff Extra Duty - Allowance Claim

    Uploaded by

    Kimberly Chales
    This document is a monthly supplemental compensation form for a subrecipient working on an HIV response award in Tanzania. It requests information on employee names, days and hours worked, rates, and amounts owed. It also includes spaces for employees and supervisors to describe activities performed, sign and date to certify the reported hours and compensation requested.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    MONTHLY SUPPLEMENTAL COMPENSATION FORM

    Subrecipient Name:

    ICAP Award Name: Sustain and Accelerate a Comprehensive HIV Response in the United Republic of Tanzania under PEPFAR

    Award Number: 5 NU2GGH002388-02-00

    Period of Certification:

    EMPLOYEE NAME

    DAYS WORKED
    EXTRA HRS

    RATE PER DAY

    AMOUNT

    Describe Below the Activities and Tasks performed in the Reporting Period
    No. Date Time in Time Out Activity Description Deliverable

    CERTIFICATION

    EMPLOYEE NAME SUPERVISOR NAME

    TITLE TITLE

    SIGNATURE SIGNATURE

    DATE
    DATE

    Subrecipient Monthly Supplemental Compensation FORM February 2016

    You might also like