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COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
JANUARY 2014
SUN MON TUES WED THUR FRI SAT TOTALS1
H2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20
H21 22 23 24 25
26 27 28 29 30 31
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
FEBRUARY 2014
SUN MON TUES WED THUR FRI SAT TOTALS1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17
H18 19 20 21 22
23 24 25 26 27 28
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
MARCH 2014
SUN MON TUES WED THUR FRI SAT TOTALS1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 31
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
APRIL 2014
SUN MON TUES WED THUR FRI SAT TOTALS1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
MAY 2014
SUN MON TUES WED THUR FRI SAT TOTALS1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26
H27 28 29 30 31
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
JUNE 2014
SUN MON TUES WED THUR FRI SAT TOTALS1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
JULY 2014
SUN MON TUES WED THUR FRI SAT TOTALS1 2 3 4
H5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
AUGUST 2014
SUN MON TUES WED THUR FRI SAT TOTALS1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24/31 25 26 27 28 29 30
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
SEPTEMBER 2014
SUN MON TUES WED THUR FRI SAT TOTALS1
H2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
OCTOBER 2014
SUN MON TUES WED THUR FRI SAT TOTALS1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
NOVEMBER 2014
SUN MON TUES WED THUR FRI SAT TOTALS1
2 3 4 5 6 7 8
9 10 11
H12 13 14 15
16 17 18 19 20 21 22
23/30 24 25 26 27
H28
H29
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW
COLLEGE OF EDUCATIONRECORD OF LEAVE TAKEN OR EARNED
Regular work schedule:
NAME: M T W Th F(please complete each month)
LEAVE LEGEND:
A: ANNUAL LEAVE C: CIVIL DUTY OU: COMPTIME USED
S: SICK LEAVE PH: PERSONAL HOLIDAY HW: HOLIDAY WORKED
L: LEAVE WITHOUT PAY M: MILITARY DUTY HU: HOLIDAY COMPTIME TAKEN
B: BEREAVEMENT OT: COMPTIME EARNED F: FMLA APPROVED LEAVE
DECEMBER 2014
SUN MON TUES WED THUR FRI SAT TOTALS1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25
H26 27
28 29 30 31
SIGNATURES:
EMPLOYEE: SUPERVISOR:
_____________________________________ _____________________________________Name Date Name Date
REMEMBER : Write your name at the top of this calendar. Staple your original Request for Leave of Absence to the back of this calendar
To access your leave balances and accrual rates, go to the “Vacation & Sick Leave” tab in the Employee Self Service (ESS) section of MyUW