Fillable Hr 101 C-19 HR101 Employee Set Up Form (Ireland - Health Service Executive)

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Hr 101 C-19 HR101 Employee Set Up Form (Ireland - Health Service Executive)

On average this form takes 15 minutes to complete

The Hr 101 C-19 HR101 Employee Set Up Form (Ireland - Health Service Executive) form is 2 pages long and contains:

  • 0 signatures
  • 19 check-boxes
  • 51 other fields

Country of origin: IRELAND
File type: PDF

Ireland forms for Health Service Executive

BROWSE IRELAND - HEALTH SERVICE EXECUTIVE FORMS

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Employee Set up form HR 101(C-19)
This form is to used to hire or rehire employees on SAP HR. Failure to fully complete the form will result in delays to salary payments.
Page 1 of 2
Please complete in block capitals & place a tick
in the appropriate boxes
Start Date
Section 1 - 2 should be completed by Employee/Payee
1. Personal Information
Surname First Name
Street Address
Email address for online payslip purposes
Date
Of Birth
PPS
Number
2. Bank Details
Bank
Name
Bank Address
Sort Code Account No
Payee Name
Bank Identifier Code (BIC)
Grade Org Unit No.
Position Number Position Name
Personnel Area Cost Centre
Employee Group
Temporary
Employee
Sub
Group
Wholetime Part-time
Casual
4. Contract Type – [please attach signed contract]
Specified Purpose Std T&C’s 06/2014
Expiry date of
Temporary Contract
3.Appointment Details
Wholetime Standard hours for this grade Contract Hours for EE (use decimals)
Working Week Mon – Fri 5/5 Mon – Sun 5 / 7 Work Rule Schedule (if casual enter HRPD)
Note: Employee works a Monday to Friday roster they are classified as 5/5 & will not receive Sat allowance or Sunday/BH premium.
Alternatively if an employee works on Saturday or Sunday they are classified as 5/7 & will be paid the relevant allowances & premium.
5. Work Pattern
Revised 13/03/2020
HR 101 Mar 2020
Location Code
Personnel Number
If a Re-hire
Temporary
Hire Re-hire
SEPA Bank Account No (IBAN)
Page 1 of 2
Revised 13/03/2020
HR 101 Mar 2020
Allowance
Please ensure that supporting
documentation is attached
Amount/Unit
Wage Type/Pay Code
Official Use Only
1
2
7. Pension Details
Annual Salary € Level (Point of Scale) Grade Code
6. Pay Details
Superannuation classification to be completed in all cases Non New Entrant New HSE Entrant SPSPS
PRSI Class (as per P60) :
Please indicate the relevant
superannuation scheme
Officer
Non Officer
PRSI Class A PRSI Class D
1956 Scheme
120
120
200
1977[Revision Scheme] –
Main Scheme
160
140
220
Spouses’ & Children’s
320
320
420
Widows’ & Orphan’s N/A 300
400
HSE Employee Superannuation Scheme – Main Scheme
(Officer & Non Officers)
165
Spouses’ & Children’s
325
Public Service Pensions [Single Scheme]
170
8 (a) HBS Recruit Signature
Date
8 (b) Hiring Manager/Delegated Officer Declaration
I declare that the above information is accurate and correct. I confirm that the above employee commenced employment on the date stated above and
approve set up on the appropriate HR/payroll system.
Signature
Date
Name (Print) Grade
Contact Tel No Decision Number (if applicable)
E-Mail Address
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Hr 101 C-19 HR101 Employee Set Up Form (Ireland - Health Service Executive)

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Completed 18 July 2020

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