Absence Report - Excel by armedman2


									CALIFORNIA STATE UNIVERSITY, SACRAMENTO                               Pay Period               Qualifying            Multiple              REVISION            TIME BASE                 CBID
                                                                     (Month/Year)                                    Positions            (Replaces ALL
ABSENCE AND EXCESS HOURS                                                                       Non-Qualifying                             previous
                                                                                                                                                               FT       HI   OR
                                                                                               (see reverse)                              reports for this
WORKED REPORT                                                                                                                             pay period)         time base fraction
NAME: (First, MI, Last)                                                                                                                                       EMPL RCD #                     FLSA
                                                                                                                                                                                             N E
                                                                 Refer to instructions to complete this report.
Absences With Pay:                                                                                          Shift Pay:
    SL            Sick Leave Self                             PH         Using Personal Holiday
    SLF           Sick Leave Family                           ML         Short-term Military Leave (In Days)                   SHGRV            SHIFT NIGHT
    SLD           Family Death … Indicate                                Attach Military Duty Orders
                  Relationship ___________                    MPA        Maternity / Paternity / Adoption Leave                SHSWG            SHIFT EVENING
    FL            Funeral Leave … Indicate                    JD         Jury Duty (Attach two history reports)
                  Relationship ___________                    EP         Excess Hours Earned                                   SHE08            SHIFT EVENING - R08
    VA            Vacation                                    EM         Using Excess Hrs Credit
    CT0           Comp Time Taken                             UTN        Union Time Taken - Not Reimb.                         SHN08            SHIFT NIGHT - R08
    HT            Holiday Credit Taken                        UTR        Union Time Taken - Reimb
                                                              SW01       Subpoenaed Witness (DON'T KEY IN CMS)
                                                                                                                          Irregular Work Schedule - Excess Hours Calculation
Absences Without Pay (DO NOT KEY IN CMS):                                                                                                 (Applicable to Non-Exempt Only)
                                                                                   NOTE: FORMAL LEAVE OF 15 DAYS
   A              Absence Without Leave (AWOL - Unapproved Absence)                                                                  (22 day pp = 176 hrs.; 21 day pp = 168 hrs.)
                                                                                   OR LONGER REQUIRES A FORMAL
   DOCK           Informal Leave Without Pay Granted
                                                                                   APPROVAL AND IS NOT REPORTED
                                                                                                                                          HRS    X                           =           0
                  (14 working days or less)                                                                                                                  timebase
                                                                                     ON THIS ABSENCES REPORT.
                                                                                                                                     Actual Scheduled Hours                  =

         Include all dates in pay period - see State Pay Period Schedule. Employees working irregular work week must indicate daily work schedule below
              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 Total Hours

   SL                                                                                                                                                                              SL               0.0
  SLF                                                                                                                                                                              SLF              0.0
  SLD                                                                                                                                                                              SLD              0.0
   FL                                                                                                                                                                              FL               0.0
   VA                                                                                                                                                                              VA

 CTO                                                                                                                                                                               CTO              0.0
   HT                                                                                                                                                                              HT               0.0
   PH                                                                                                                                                                              PH               0.0
   ML                                                                                                                                                                              ML               0.0
 MPA                                                                                                                                                                               MPA              0.0
   JD                                                                                                                                                                              JD               0.0
  EP                                                                                                                                                                               EP               0.0
  EM                                                                                                                                                                               EM               0.0
 UTN                                                                                                                                                                               UTN              0.0
 UTR                                                                                                                                                                               UTR              0.0
SW01                                                                                                                                                                               SW01 - NO ENTRY

    A                                                                                                                                                                              A - NO ENTRY

DOCK                                                                                                                                                                               DOCK - NO ENTRY

SHGRV                                                                                                                                                                              SHGRV            0.0
SHSWG                                                                                                                                                                              SHSWG            0.0
SHE08                                                                                                                                                                              SHE08            0.0
SHN08                                                                                                                                                                              SHN08            0.0
 HOL                                                                                                                                                                               HOL              0.0
             HI HRLY Wage Rate: $                                                                                  TOTAL H.I. PAID HRS. (Includes paid leave hrs.)>

To the best of my knowledge and belief, the facts stated are accurate and in full compliance with legal              I approve the use and/or earning of leave benefits as         Keyed
requirements. I understand substantiation shall be required for sick leave in accordance with current Bargaining     indicated above. I understand substantiation shall be
Unit Contracts and/or CSU Policies.                                                                                  required and attached for sick leave in accordance
                                                                                                                     with current Bargaining Unit Contracts and/or CSU             Approved
                                                         6/24/2003                 85888
                  Employee's Signature                           Date                       Campus Phone                                Supervisor Signature                       Payroll Use
CMS PR54 (Rev 3/21/03)                                                                                                           Date                        Campus Phone

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