Your Name
Email
example@example.com
Start of Tax Year
-
Day
-
Month
Year
Date
End of Tax Year
-
Day
-
Month
Year
Date
Number of days of Annual leave or Sick leave taken
Work at Home due to Coronavirus
Start Date
-
Day
-
Month
Year
Date
End Date
-
Day
-
Month
Year
Date
Total days worked at home due to Coronavirus
Number of days worked
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Average number of hours worked per day
Regular Work at Home
Start Date
-
Day
-
Month
Year
Date
End Date
-
Day
-
Month
Year
Date
Total days worked as regular work at home
Number of days worked
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Average number of hours worked per day
Any other information or comments
Submit
Should be Empty: