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
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