Annex No. 1

 Request for wage claims for night work, work on Saturday, Sunday and public holiday and for work
                                               duty

☐ Night work

☐ Work on Saturdays and Sundays

☐ Work on public holidays

☐ Work duty


Wage composition number

                       ☐ 210 – Saturday, Sunday

                       ☐ 211 – night

                       ☐ 212 – public holiday

                       ☐ 240 – work duty

Order no.


Activity no.


Faculty account no.


Cost workplace



University personal no. (UČO)

                             Surname, name

                                          Hours to be paid

                                                          Period













Term of payment: with the wage for


Proposer:    ……………………………..

(unless identical with the approver)


Approver (head of the department, workplace):    …………………………………...

___________________________________________________________________________

A record of pre-control check of expenditure prior to the occurrence of the liability under the
relevant provisions of Act No. 320/2001 Coll., on Financial Control and Decree No. 416/2004 Coll.,
implementing the Act on Financial Control.


Orderer of the operation:


Budget administrator:

Found deficiencies:                         See the Annex

Found deficiencies:                                 See the Annex

Date:

Date:

Signature of the orderer of the operation:


Signature of the budget administrator: