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CUPE 4163 Forms

All components :

Direct Deposit Authorization form (pdf)

Component One:

Midterm Review Form (pdf)

Mid-term reviews were designed to prevent you from working more hours than you are paid. They are an important part of your responsibility as a Teaching Assistant, and help prevent problems before they start. For information on how to fill in the midterm review form, see our instructions page.

Application Form (xls)

Application forms are usually obtained from your Department, and may vary slightly. Please check with your Department before using this form.

Internal CUPE 4163 Forms:

Expense and Per Diem Form (PDF)

This form is used to document receipted expenses related to approved union business (e.g., travel costs, accommodations, etc.) The per kilometre rate is $.50/km, with the maximum km not to exceed cost of airfare. Receipts are not required for personal vehicle km rate.

Per Diems are intended to be a reasonable allowance to cover meal expenses and personal phone calls while on union business.

Policy: "$60 per day for union business out of town; $10 per day for union business out of town where meals are provided; $30 per day for union business in town where 2 meals are purchased (e.g., CUPE BC Convention); $15 per day for union business in town where 1 meal is purchased (e.g., CUPE education courses)."

Receipts are not required for per diems.

Management Meeting Compensation Time-Sheet Form (PDF)

Policy: "Any designated representative of the Local will be compensated at the Senior Assistant rate for time spent meeting with the employer on authorized union business. To receive compensation, the member must submit an MMC Form to the Budget Committee for approval."

Members' Sign-in Form (PDF)

This form can be used to record members' attendance at union meetings. It is always a good idea to use this form so that the union has the most up-to-date contact information for our members. Please submit a copy of the completed form to the union office.

 

 

 

 

 

 

 

 

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CUPE 4163
Canadian Union of Public Employees local 4163
University of Victoria
Technology Enterprise Facility Room 217
Box 1700, Stn. CSC, Victoria BC, V8W 2Y2
Tel. (250) 472-4778 Fax: (250) 472-4806
Email: cupe4163 (at) uvic.ca

 

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