October Overload Documentation for teaching load, caseload and number of unique preparations
This form is for PAT Building Reps to fill out on behalf of members at your site whose workload (case load, class size, and/or unique number of preps) exceeds the thresholds stated in the PAT/PPS contract. (Article 8). Please use your 1:10 structure, and fill it out individually for each member who believes they are due workload overload pay, based on their workload on October 15, 2018.

Any member who believes they are due overload pay should document their class sizes/ case loads on October 15, and /or their number of unique preps, by printing or screen-shotting this information from Synergy. This evidence should be kept in case it is necessary to make case on behalf of the member.

Your School/ Program *
Your answer
Name of Rep filling out this form *
Your answer
Name of Member with workload overload *
Your answer
FTE of member with workload overload *
Does this member believe they have a workload overage in class-size, case-load, teaching load, or number of unique preparations?
Position of Member *
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