Primary Teachers Substitute for a Substitute Form

• Published date: 24 October 2019
• Issuer: Department of Education

Number AF:

Primary Teachers Substitute for a Substitute Form

(claims for the substitute teacher who is present in the

school on the date should be made in the normal process

on the Online Claims System. This form is to make a

claim in respect of the absent substitute)

Original Post-Holder (Teacher) who is on Leave Details

PPS Number ___________________________________

Payroll No. ___________________________________

First Name ___________________________________

Surname ___________________________________

Type of Leave Original Post-Holder is on

____________________________________

Non-Casual Substitute Teacher who is on Leave Details

PPS Number ___________________________________

Payroll No. __________________________________

First Name ___________________________________

Incomplete forms will be returned to the School.

School Details

Roll Number _______________

School Name __________________________________

e-mail __________________________________

Phone No. __________________________________

Employment Details for Non-Casual Substitute

Start Date of Employment: _______________________

End Date of Employment: * _______________________

Origin of the Post: _________________________

Surname ___________________________________

*No payment will issue in respect of absences that occur after the End Date of Employment.

Type of Absence

Date From

Date To

Hours Scheduled to Teach

(a copy of the approval for substitute cover must be enclosed for any claim in respect of in-service

leave for approved courses, this may be obtained from the course provider)

Authorised for Payment

Signature of Data Entry Person on OLCS __________________________________

Signature of Approver on OLCS __________________________________

NB: This form should only be completed in respect of payment where a Substitute Teacher who is absent on

Leave has an entitlement to salary. (see overleaf for information)

Once fully completed, this document should be returned to the following address:

Please include the Roll No. on the outside of the envelope

Primary Teachers Payroll Section,

Department of Education and Skills,

Cornamaddy,

Athlone,

Co. Westmeath, N37 X659