employee status form - macalester collegerest for the employee. employees on leaves of absence...
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NOTICE TO EMPLOYEE OF CHANGE TO EMPLOYMENT DETAILS Employee Name:
Mac ID #: Effective Change Date:
WAGE/JOB INFORMATION Job Title:
Department: Supervisor:
Rate of Pay: Per Hour
☐ Per Year
☐ Overtime Rate of Pay: (1.5 x rate over 40 hrs/wk = )
Avg hrs/wk FTE: (Avg hrs/wk * # wks)/2015 hrs =
Temporary? Yes
☐
No
☐ Affected pay periods: Begin
___ / ___ / ______
End
___ / ___ / ______
FOAPAL:
Description of Change:
EMPLOYMENT STATUS ☐ Non-Exempt (hourly/bi-weekly): Entitled to overtime, minimum wage, other protections under Minn. Stat. 177
Next Pay Date:
___ / ___ / ______ Number of days per Pay Period: 14 days Regularly Scheduled Payday: Every other Friday
☐ Exempt (salaried/monthly): Not entitled to overtime, minimum wage, other protections under Minn. Stat. 177
Legal basis for exemption: ☐ Executive ☐ Administrative ☐ Professional
Next Pay Date:
___ / ___ / ______ Number of days per Pay Period: 28-31 days Regularly Scheduled Payday: Last business day each month
TIME OFF BENEFITS
☐ Vacation Time Exempt staff accrue vacation time at a rate of .0923 per compensated hour. Non-Exempt staff accrue vacation time at a rate of .0577 per compensated hour for 0-4 years of service, .0766 per compensated hour for 5-9 years of
service and .0924 per compensated hour for 10+ years of service. Engineer staff accrue vacation at a rate of .0500 per compensated hour for 0-4 years of service, .0616 per compensated hour for 5-9 years of service,
.0809 per compensated hour for 10-14 years of service, .0924 per compensated hour for 15-19 years of service, .1000 per compensated hour for 20+ years of service. Vacation time is banked for the first 6 months of eligible employment and available for use upon completion of 6 months.
Maintenance staff accrue vacation at a rate of .04240 per compensated hour for 0-4 years of service, .0616 per compensated hour for 5-9 years of service, .0809 per compensated hour for 10-14 years of service, .0924 per compensated hour for 15-19 years of service, .1000 per compensated hour for 20+ years of service. Vacation time is banked for the first 6 months of eligible employment and available for use upon completion of 6 months.
Vacation time may accrue up to a maximum of two years accrual prorated per FTE and up to one year accrued may be paid out upon departure. Vacation time is available for use once accrued into available balance with supervisor approval. Faculty are not eligible for vacation time.
☐ Sick Time .5 to 1.0 FTE Exempt and Non-Exempt staff accrue sick time at a rate of .0462 per compensated hour. .49 and below Exempt and Non-Exempt staff accrue sick time at a rate of .0334 per compensated hour. Maintenance and Engineer staff accrue sick time at a rate of .0463 per compensated hour. Any faculty member may utilize up to 80 hours of emergency medical leave in accordance with the St. Paul Sick Leave Ordinance prorated per FTE. Sick time may be utilized as accrued with supervisor approval. There is no maximum accrual for employees with an FTE of .5 or higher. Employees
with a .49 or lower have a maximum accrual of 80 hours. Sick time is not paid out upon departure.
☐ Holiday Time .5 to 1.0 FTE Exempt, Non-Exempt , Engineer and Maintenance staff receive holiday pay for 9 designated holidays prorated per FTE per calendar year
including: New Year’s Day, Martin Luther King Jr Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving, Christmas Eve Day, Christmas Day. One Floating Holiday is also provided prorated per FTE. Employees who work on the holiday will receive another day off within the pay period before, pay period of, or pay period after the holiday. To the extent possible, the day off will be granted in accordance with the employee’s request and coordinated with and approved by the supervisor. However, business needs may also be taken into consideration. The time associated with this day off may not be split over multiple days – the intention of the paid holiday is to provide a full day of rest for the employee. Employees on leaves of absence longer that two weeks or unpaid leave of absence are not eligible for holiday pay.
EMPLOYEE STATUS FORMWAGE STATEMENT
___ / ___ / ______
DEDUCTIONS & ALLOWANCES Deductions from your paycheck may include: benefits (health, health savings account, dental, vision, life, flexible spending accounts, disability, legal, identity protection, retirement); required state, federal and social security taxes; garnishments; union dues (applicable to maintenance and engineers); housing; meals; corrections for incorrect payments/deductions. Allowances to your paycheck may include: meals & lodging as applicable and assigned below:
Meals allowance per pay period: $ Lodging allowance per pay period: $Other Allowances to your paycheck:
Description of Allowance: Allowance per pay period: $
TIMESHEET APPROVER Primary Timesheet Approver: Secondary Timesheet Approver:
ACKNOWLEDGEMENT By signing this notice, the employee acknowledges receipt of this notice on the date identified at the beginning of the document:
Supervisor Name (printed): Supervisor Name (signed):
Date:
___ / ___ / ______
Employee Name (printed): Employee Name (signed):
___ / ___ / ______
TRANSLATION SERVICES This document contains important information about your employment agreement. Check the box at left to receive this information in this language.
☐ Spanish / Español☐ Hmong / Hmoob☐ Vietnamese / Việt ngữ☐ Simp. Chinese / 简体中文☐ Russian / русскии☐ Somali / Soomaali☐ Laotian /ພາສາລາວ☐ Korean / 한국어☐ Tagalog / Tagalog☐ Oromo / Oromoo☐ Amharic / አማርኛ☐ Karen /
EMPLOYMENT SERVICES USE Position Number: Entered by: FTE: Date:
Comments:
___ / ___ / ______
EMPLOYEE STATUS FORMWAGE STATEMENT
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ይህ ዶኩመንት አቀጣጠሮን በሚመለከት አስፈላጊ መረጃ የያዘ ነው። ይህንን ዶኩመንት በስተግራ በኩል ባለው ቋንቋ ተተርጉሞ እንዲሰጦት ከፈለጉ በዛው በስተግራ በኩል ባለው ሳጥን ውስጥ ምልክት ያድርጉ።
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___ / ___ / ______
Line Officer (printed): Line Officer (signed):
Date:
Date: