Substitute Compensation
Request Form
Is substitute a current employee at the school?
*
Yes
No
If this is a new substitute, they cannot get paid until we obtain a w9. To expedite the process, please direct them to fill out https://manhattanhigh.org/w9 as soon as possible.
Substitute Information
Date Substituted
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pay Type
*
Per Hour/Period
Flat Amount
Number of Hours/Periods
include decimals for partial hours
Rate/Additional Rate per Hour/Period
Compensation
$
Flat Amount
For class
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Teacher Subbing For
Would you like to add another instance?
*
Yes
No
Date Substituted
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pay Type
*
Per Hour/Period
Flat Amount
Number of Hours/Periods
include decimals for partial hours
Rate/Additional Rate per Hour/Period
Compensation
$
Flat Amount
For class
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Teacher Subbing For
Would you like to add another instance?
*
Yes
No
Date Substituted
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pay Type
*
Per Hour/Period
Flat Amount
Number of Hours/Periods
include decimals for partial hours
Rate/Additional Rate per Hour/Period
Compensation
$
Flat Amount
For class
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Teacher Subbing For
Would you like to add another instance?
*
Yes
No
Date Substituted
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pay Type
*
Per Hour/Period
Flat Amount
Number of Hours/Periods
include decimals for partial hours
Rate/Additional Rate per Hour/Period
Compensation
$
Flat Amount
For class
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Teacher Subbing For
Would you like to add another instance?
*
Yes
No
Date Substituted
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pay Type
*
Per Hour/Period
Flat Amount
Number of Hours/Periods
include decimals for partial hours
Rate/Additional Rate per Hour/Period
Compensation
$
Flat Amount
For class
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Teacher Subbing For
Would you like to add another instance?
*
Yes
No
Date Substituted
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pay Type
*
Per Hour/Period
Flat Amount
Number of Hours/Periods
include decimals for partial hours
Rate/Additional Rate per Hour/Period
Compensation
$
Flat Amount
For class
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Teacher Subbing For
Name
*
First Name
Last Name
E-mail Address
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Description
Total Compensation
$
Submitted by
Supervisor
*
Please Select
Rabbi Shai Markowitz
Mrs. Tsivia Yanofsky
Mrs. Nechama Mirsky
Email Address
*
example@example.com
Full Name
*
First Name
Last Name
Supervisor Signature
*
Today's Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: