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time-off-tracking-form-1.2012

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					                                                                                    CARNEGIE MELLON UNIVERSITY TIME OFF TRACKING FORM
     * Grey shaded areas require manual entry.                                YEARS OF SERVICE                             PAID TIME OFF ENTITLEMENT
                                                                              Less than 3                                  17 days (1.42 days per month)
                                                                              Beginning 4th Year                           20 days (1.67 days per month)
                                                                              Beginning 8th Year                           25 days (2.08 days per month)
                                                                              Beginning 16th Year                          30 days (2.50 days per month)

EMPLOYEE NAME:                                                                                          EMPLOYMENT DATE:                                     COMPLETED YRS OF SERVICE > 1,000 HRS:
                                                                                                        (start date)
MANAGER NAME:                                                                                           ANNIVERSARY YEAR:                                    ANNUAL PTO ENTITLEMENT:                             17
                                                                                                        (day/month/year eligible for PTO)
DEPT NAME/DEPT #:                                                                                       PTO ACCRUAL DATE:                                    RESERVE SICK DAY BANK:     Begin Balance
                                                                                                        (same as anniversary year/date)                                                 Days Taken
                                                                                                                                                                                        Current Balance          0.00
                                                                                                                                                                                        Days Added at Year End   0.00
                                                                                                                                                                                        Year End Carryover       0.00

                                                                                                                PTO Summary
     Anniversary Year 2011 - 2012                                                                           Carryover Days:
          January 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 Earned Taken     Balance
     January                                                                                                 1.42     0.00    1.42
     January                                                                                                 1.42     0.00    2.83
     February                                                                                                1.42     0.00    4.25
     March                                                                                                   1.42     0.00    5.67
     April                                                                                                   1.42     0.00    7.08
     May                                                                                                     1.42     0.00    8.50
     June                                                                                                    1.42     0.00    9.92
     July                                                                                                    1.42     0.00   11.33
     August                                                                                                  1.42     0.00   12.75
     September                                                                                               1.42     0.00   14.17
     October                                                                                                 1.42     0.00   15.58
     November                                                                                                1.42     0.00   17.00
     Total Number of Days Earned, Days Taken, Balance                                                       17.00     0.00   17.00
     Maximum Number of PTO Days Allowed to Carryover                                                                         17.00
     Total Number of PTO Days to Carryover                                                                                   17.00
     Total Number of RSD to Carryover                                                                                         0.00
     LEGEND
 1    - PTO day taken                                                                                                                         FLOATING HOLIDAY ALLOWANCE FOR CY 2011:
 P    - PTO day scheduled, not yet taken                                                                                                                                  Days Taken:
 B    - Bereavement
 F    - Floating Holiday (3 days by 4/30; 2 days by 8/30; 1 day by 10/31; on/after 11/1-no FH)
 H    - CMU Recognized Holiday
 J    - Jury Duty
 R    - RSD                                                                                                                                   FLOATING HOLIDAY ALLOWANCE FOR CY 2012:
 S    - STD                                                                                                                                                               Days Taken:
 U    - Unpaid Time Off
 X    - Other (Enter comment in notes area)

Notes:
                                                                                                    Employee signature & date



                                                                                                    Supervisor signature & date




                                                                                        DEPT. OF HUMAN RESOURCES OFFICIAL TIME OFF TRACKING FORM                                                                        Rev: 09/01/2011

				
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