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NOTICE TO CLERICAL UNIT EMPLOYEES by zPI7RLT

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									                       UC-CUE TEMPORARY LAYOFF PROGRAM

       ELECTION FORM FOR ALTERNATE TEMPORARY LAYOFF OPTION


TO:            Supervisor

RE:            Request to Delay Temporary Layoff


In lieu of taking temporary layoff days for the (December 2009- January 2010) scheduled
campus closure I am requesting to use the following leave option(s) to cover the dates of the
closure. I understand that to be considered this requested must be submitted prior to the closure
period.

DATE              VACATION     ANTICIPATED        CTO           LEAVE
                               VACATION                         WITHOUT
                                                                PAY
December 28
December 29
December 30




I understand that, my making this election, I am required to schedule my temporary layoff prior
to December 31, 2010 and that I must use them by such date or they will expire.


_________________________________________                   _______________________
Employee’s Signature                                        Date


APPROVED

_________________________________________                   _______________________
Manager’s Signature                                         Date

								
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