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College of Arts, Society and Education
Victorian/International Pay Claim Form
Instructions
At the end of the professional experience, please complete the Victorian/International Pay Claim Form
1. School/Centre Details
All fields are mandatory.
2. Claim Details
Enter the Pre-Service Teachers full name, Pre-service Teacher Year Level, Placement Dates
SBTE (School Based Teacher Educator)
Enter the hours of Supervision; note the maximum allowance is five hrs per day.
Site Coordinator
Enter the number of Coordination Days. Then the number of group talks held in hours.
3. Total
Enter a total in each section.
5. Certification
Site Coordinator/Centre Director to sign.
6. Submit Form
The completed claim form and Tax Invoice should be forward to the Professional Experience Unit, James Cook
University via email to eduprofex@jcu.edu.au
Pay Rate
Supervision Payment Rate: $4.21 per hour
Coordination Days Rate: $1.44 per PST per day
Group Talks Payment Rate: $12.28 per hour
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College of Arts, Society and Education
Victorian/International Pay Claim Form
School Details
Tax Invoice/Claim Number ABN
School/Centre: Contact Person:
School/Centre Address: Contact Phone:
JCU CASE Education USE ONLY
FUNDING ACCOUNT:
2221.11102.0001.7050
Certified by (Signature): Date
HR OFFICE USE ONLY
Personal Record Processed Timesheet Processed: Timesheet Checked: Employee No.: Job No.:
Claim Details
Name of Pre-Service Teacher
Pre-Service
Teacher
Year Level
Placement Dates
SBTE
SITE COORDINATOR
Hours of
Supervision
(Max 5 hrs
per day)
Number of
Coordination
Days
Number
of Group
Talks
(hours)
TOTAL
Certification
Site Coordinator/Centre Director:
I certify that the above details are correct.
Name
Signature
Date
0
0
Please Select
Please Select
Please Select
Please Select
Please Select
Please Select
click to sign
signature
click to edit
click to sign
signature
click to edit
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