Staff Time In Lieu Form

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Your Name *

Date *

Email me a copy

fill in your email address if you wish to receive a copy of this

Customer *

Ticket Number *

Date *

Time In Lieu *

The TIL spent in HH:MM format.

Customer

Ticket Number

Date

Time In Lieu

The TIL spent in HH:MM format.

Customer

Date

Ticket Number

Time In Lieu

The TIL spent in HH:MM format.

Total Time (HH:MM) *

The total time in lieu of your listed hoursminutes

Additional Notes

Disclaimer *

I certify that this claim is correct, that the above times are reasonable and within my assigned duties in accordance with current finance/expense policies.

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