This form must be completed by the Line Manager
All fields marked with a * are required.
Once authorised, an email will be sent directly to the VDU user. It will have a HS5 form attached for the user to collect a cash voucher from the Finance Cash Office.
As soon as your employee collects the voucher, your department will be charged.
It is University policy to issue an eye sight voucher every two years. If an employee needs an early eye sight test for health reasons or has any other special requirements regarding their vision, please refer them to Occupational Health.
After your eye sight test, Specsavers will return your voucher to you. Please ensure this gets sent to the Health and Safety Office