Time & Accrual for Classified Employees CLS-ANN

Name Email: Phone Number: Department:

Title Part time % _____ Scheduled Work Week: ___ 37.5 hrs ___ 40hrs Hours______

Vacation Leave Anniv. Date: Personal Leave Anniv. Date: Neg. Unit: ASU ___ ISU ___ OSU ____ PST ___ C82 ___NYSCOPBA

Beginning:

Ending:

Week One Record Hours “In” and “Out” Accruals Used Time Earned Daily

Comp OT L Total Time Over M Vac. Tardy Sick Pers. Holiday Comp W Day Date In Out In Out In Out Reg. OR Time e Leave Min Leave Leave Leave Taken O Hours Extra Hours a P Time l

Week Two Record Hours “In” and “Out” Accruals Used Time Earned Daily

Comp OT L Total Time Over M Tardy Sick Pers. Holiday Comp W Day Date In Out In Out In Out Vac. Reg. OR Time e Leave Min Leave Leave Leave Taken O Hours Extra Hours a P Time l

Wed * If accrued at 20 day rate (5.75) add (.25 hrs) April 1, & Oct 1 (ASU) Bi-Weekly Total

Accrual Summary BCS PCS Vacation Sick Personal Holiday Leave Reg. Comp Time 1/1 1/1 Over 40 Leave * Leave Leave Reg. Floating (37.5 to 40) - - VRWS Comp Time Since 4/1 Before 12/ 12/ 4/1 31 31 Beginning Balance Total Charges Sub-total Accruals Earned Ending Balance

ABSENCE CODES PCS - Prostate Cancer Screening** ML - Military Leave** BCS - Breast Cancer Screening** VAC - Vacation EOL - Employee Organization Leave** VRWS - Voluntary Reduction Work Schedule FSL - Family Sick Leave WC - Workers’ Compensation Leave** JURY - Jury Duty/Court Appearance **Supporting Documentation Required (Military Orders, Court Documents, Exam Notice, Etc.) Employee Supervisor CERTIFIED CORRECT AS TO TIME AND CREDITS