WORK PATTERN NOTIFICATION
To be completed by fractional staff.
Use this form to advise of permanent or long term changes to work patterns only.
Temporary changes can be managed at the local level.
If there is a permanent change to your work pattern it is your responsibility to complete a Work Pattern Notification form
and forward the authorised form to HRD in order to ensure your leave is processed correctly.
NB: This form is used for Work Pattern Notification only and not to notify of new appointments and appointment variations
Please tick as appopriate:
New fractional staff member
Change to fraction & work pattern
Change to work pattern only
1. STAFF MEMBER DETAILS
First Name
Preferred Name
Faculty/Division/Institute
School/Area
Position Title
Campus
Surname
Staff ID (if known)
Phone
2. WORK PATTERN NOTIFICATION
Effective Date:
End Date:
Current Time
Fraction
Please indicate in the table below the hours and minutes you work each day
Week
Week
1
Week
2
Monday
Tuesday
Wednesday
Thursday
Friday
Hrs
Min
Hrs
Min
Hrs
Min
Hrs
Min
Hrs
Min
Hrs
Min
Hrs
Min
Hr
Min
Hrs
Min
Hrs
Min
Total fortnightly
hours
Hrs
Min
(pay
week)
Please ensure that the total fortnightly hours entered equate to your
current fraction.
Examples of fortnightly hours to fraction based on a standard day of 7hours 21minutes:
Fraction
Hours
per
fortnight
Fraction
Hours per
fortnight
Fraction
Hours per
fortnight
Fraction
Hours per
fortnight
Fraction
Hours per
fortnight
10%
7:21
20%
14:42
30%
22:03
40%
29:24
50%
36:45
60%
44:06
70%
51:27
80%
58:48
90%
66:09
100%
73:30
3. STAFF MEMBER AUTHENTICATION
Signature
Date
4. APPROVALS
Manager’s Full Name
Position
Signature
Date
Please forward this form to your HR Adviser. Work patterns can be viewed via http://www.deakin.edu.au/staffconnect
‘Privacy: The personal information collected on this form will become part of your employment record. The University
manages personal information in accordance with the Information Privacy Act 2000. You may gain access to your personal
information held by the University. Requests for access are managed under the Freedom of Information Act 1982. To view
the University’s Information Privacy Policy go to <http://theguide.deakin.edu.au/> or contact the Privacy Officer
at [email protected].’