You and your part-time employees can use this form to agree on or vary their regular hours of work. This includes changing days, hours and/or start and finish times. For more information about hours of work, visit or call the CCSA Member Infoline on 1800 991 602. Copy this form onto your service letterhead. Hours of work variation full-time and part-time employees – Employee’s details First name: Surname: Position: Details of agreed hours variation Permanent variation It is agreed that the ordinary hours of work of the employee above will be varied to the arrangement specified below: Effective from (date): Until (specify end date or ‘ongoing’): Week 1 Unpaid/Paid break* Total (e.g. meal break) Start time Finish Other Day (hours minus time times/ (e.g. Return to Break unpaid Breaks 8:30am) (e.g. 5pm) work begins breaks) (e.g. (e.g. 12:30pm) 1:30pm) Monday hrs Tuesday hrs Wednesday hrs Thursday hrs Friday hrs Saturday hrs Sunday hrs Total: hrs *Delete which one is not applicable
You and your part-time employees can use this form to agree on or vary their regular hours of work. This includes changing days, hours and/or start and finish times. For more information about hours of work, visit or call the CCSA Member Infoline on 1800 991 602. Copy this form onto your service letterhead. Hours of work variation – full-time and part-time employees Employee’s details First name: Surname: Position: Details of agreed hours variation Permanent variation It is agreed that the ordinary hours of work of the employee above will be varied to the arrangement specified below: Effective from (date): Until (specify end date or ‘ongoing’): Week 1 Day Start time (e.g. 8:30am) Unpaid/Paid break* (e.g. meal break) Finish time (e.g. 5pm) Other times/ Breaks Total (hours minus unpaid breaks) Break begins (e.g. 12:30pm) Return to work (e.g. 1:30pm) Monday hrs Tuesday hrs Wednesday hrs Thursday hrs Friday hrs Saturday hrs Sunday hrs Total: hrs *Delete which one is not applicable
Hours-of-Work-Agreement-or-Variation-Template-Part-Time-Employees-2.docx