COLLEGE OF EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 2 3 4 5 6 7
H
8 9 10 11 12 13 14
15 16 17 18 19 20 21
H
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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
H
26 27 28 29
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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 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
H
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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 2 3 4 5 6 7
H
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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1
2 3 4 5 6 7 8
H
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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
H
18 19 20 21 22 23 24
H H
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 EDUCATION
RECORD 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 2012
SUN MON TUES WED THUR FRI SAT TOTALS
1
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
H
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