Erklärung über Vordienstzeiten zur Stufenfestsetzung nach § 16 TV-L

Statement of employment history to determine pay grade under the terms of par. 16 of TV-L
__________________________________
Last name, first name, date of birth
As the basis for pay grade assignment under the terms of § 16 of the Public Sector Collective Agreement on Länder
(TV-L), I hereby confirm that I have been employed as listed below:
Please list all previous employers since earning your degree (if applicable) or since finishing your school education (if you are not a degree
holder) in chronological order. If certain requirements are met, scholarships may also be recognized for this purpose, especially if the focus of
the scholarship was not a programme of study but was rather geared toward gaining professional or research experience. Do not leave out
any employers. Please provide evidence to document your employment history.
To be filled out by the human
resources department of the
University of Bayreuth !
No. Type of employment relationship
Employer / place of employment
Rank or pay
grade
Working
hour per
week
from
day/month/year
to
day/month/year
Summe
Jahr
Summe
Tag
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Periods during which you took a leave of absence while in an employment relationship:
No.
Type of leave of absence
Employer
Working
hours/ week
from
day/month/year
to
day/month/year
Summe
Jahr
Summe
Tag
1.
2.
I am aware that this information provides the basis of my pay grade assignment under the terms of § 16 TV-L, and as such, affects
my salary. There could be legal ramifications for providing incomplete or inaccurate information.
______________________
Date and signature
To be filled out by the human resources department of the University of Bayreuth:
Es liegen keine berücksichtigungsfähigen Vordienstzeiten für die Stufenfestsetzung nach § 16 TV-L vor.
Einschlägige Berufserfahrung in einem Arbeitsverhältnis zum Freistaat Bayern nach § 16 Abs. 2 S. 2 i.d.F.d. § 40 Nr. 5 Ziff. 1 TV-L wurde
unter Nr.____________________________ erworben.
Einschlägige Berufserfahrung in einem Arbeitsverhältnis zu einem anderen Arbeitgeber nach § 16 Abs. 2 S. 3 i.d.F.d. § 40 Nr. 5 Ziff. 1 TV-L)
unter Nr. _____________________ erworben.
Einschlägige Berufserfahrung in einem Arbeitsverhältnis zu einer Hochschule oder Forschungseinrichtung nach § 16 Abs. 2 S. 4 und 5 i.d.F.d.
§ 40 Nr. 5 Ziff. 1 TV-L wurde unter Nr. ___________________________ erworben.
Förderliche Zeiten zur Deckung des Personalbedarfs (§ 16 Abs. 2 S. 6 i.d.F.d. § 40 Nr. 5 Ziff. 1 TV-L) unter Nr. _______.
Festsetzung der Stufe durch die Universität Bayreuth:
Der/Die Beschäftigte wird in Stufe ___________ eingestuft.
Zu berücksichtigende Restzeit: ____ Jahre _____ Tage.
Bayreuth, den _____________________
i.A.
_________________________________
Unterschrift des Sachbearbeiters
Do not submit-This translation is to be used as a guide for filling out the German original.
The University of Bayreuth is not liable for inaccuracies or mistakes in the English translation.
In case of doubt, the German originals are to be used in a court of law.