Restoration of Annual Leave Request Worksheet December 2008
Employee Name: Position Title Duty Station: Calculation Completed by: Position Title Row A B C D Category Annual Leave Balance at End of Leave Year (January 3, 2009) (Hours) Annual Leave Ceiling (Hours) Annual Leave Forfeited (A minus B) (Hours) Annual Leave Cancelled (Hours) Compensatory Time Used during the exigency, medical emergency, or administrative error (Hours) Credit Time Used during the period of the exigency, medical emergency, or administrative error (Hours) Rescheduled Annual Leave Used during the period of the exigency, medical emergency, or administrative error (Hours) Hours Eligible for Restoration (D minus sum of E, F and G) Hours of Approved Restored Annual Leave (Lesser of C or H) #VALUE! #VALUE! 240 #VALUE! Hours
E
F
G H I
Annual Leave restoration request attachments must include the following: 1. Letter declaring exigency, medical emergency, or administrative error (Letters must include beginning and ending dates) a. Signed and approved leave audit verified by timekeeper b. Timesheets for pay periods 24, 25, and 26 2. Signed and approved leave slips requesting leave. (SF-71 Requesting Leave) 3. notice canceling leave. Note: Intended for Human Resources use only Written
Date Calculated: 1/23/2009
Restoration of Annual Leave Request Worksheet December 2008
Definitions Annual Leave Balance at End of Leave Year - Total number of accumulated annual leave hours remaining unused at the end of the Leave Year (January 3, 2009) Annual Leave Ceiling - Maximum number of annual leave hours that may be carried over from one Leave Year into the next Leave Year. The maximum limits are as follows: U.S. Stationed Employees - 30 days (240 hours), Overseas Stationed Employees - 45 days (360 hours), Senior Executive Service Members - 90 days (720 hours) Annual Leave Forfeited - Total number of annual leave hours above employee's Annual Leave Ceiling that are actually lost at end of Leave Year Annual Leave Cancelled - Total number of annual leave hours scheduled and approved in writing at least three pay periods (by November 22, 2008) prior to end of Leave Year and is cancelled by the supervisor prior to end of Leave Year Compensatory Time Used – Total hours of compensatory time used during the period of the exigency, medical emergency, or administrative error Credit Time Used – Total hours of credit time used during the period of the exigency, medical emergency, or administrative error Rescheduled Leave - Total number of annual leave hours rescheduled and actually used after initial cancellation by supervisor Hours Eligible for Restoration - Total hours of annual leave forfeited after appropriate deductions for rescheduled annual leave, compensatory and credit hours used during the period of the exigency, medical emergency, or administrative error Hours of Approved Restored Annual Leave - The lesser number of annual leave hours forfeited or hours eligible for restoration
A
B
C
D
E
F
G
H
I
Date Calculated: 1/23/2009