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Gո@/[.w'*s 8V龭[]kbNE|߯%LVa1·"/+,?*Ǧ3$7s~#CߊK*t ]pwTOe[eߣo|[VL^3H.!ys&yRX"z?ߊo@GbaNƍ"7oo~f5PZ[?M7\ܴ|3<1;W܏w*i}$6]i1T$e}wV~ 1fow0}#|/R^EVŖWb.eu>fseH.!=ʟJ gv9?oϪ"c#T6s`-_7y3  @@  {fEMPL RECMLTOTALDATEEMPLOYEE SIGNATURE COMMENTS:CERTIFICATE BY EMPLOYEEuTo the best of my knowledge and belief, the facts stated are accurate and in full compliance with legal requirements.DEPT IDSUPERVISOR SIGNATURE AWS*PLADOTCITCTOFLPHSLVASubpoenaed Witness /Relationship - for Sick Family / Funeral Leave SUPERVISOR RECOMMENDATION<DEAN / DIRECTOR Approval (If Supervisor isn't Dean/Director)HTPAY PERIOD (MM / YYYY)ALTERNATE Work Schedule ID:TIME BASE / FTEDEAN / DIRECTOR SIGNATUREEMPL ID (BRONCO #) DEPT Name'TIME REPORTING CODES - Frequently UsedJD (SW)UTRFML-PSLFSLDCODAL634 Field Descriptions+First line  Employee specific Information::Employee Name: Last name, first name, and middle initial. "Employee ID: Enter your Bronco #. ! Empl Record: The employee s record number as used in PeopleSoft. The original hire action is employee record number zero (0). For multiple positions, the employee record number increments by one (1). This is important. Do not leave blank. Employee can locate their Empl Record # on the My Absence Balances page. Attendance Coordinators can locate the Empl Record # using the  Employees Eligible for Abs Mgmt query. zSecond line of the Form:>Pay Period: The affected pay period (month/year) e.g. 01/2009. yDept ID: the five-digit PeopleSoft department number. You can obtain the department ID from your attendance coordinator. Time Base/FTE: the full time equivalence of the employee s appointment - up to two decimals, no fractions. Examples: FT = 1.0, = .5.Indicate Alternate Work Schedule: reflect if the employee is working an approved alternate work schedule, i.e. 4/10 with Friday off; 4/9/4 working 4 hours every Friday, etc."yNot all employees qualify for each time reporting code. If you have questions, please contact your Attendance Coordinator7Middle Section/ Dates of Absences and Extra Time Worked[In the box provided for the appropriate date, indicate the number of hours of leave time taken for each applicable Time Reporting Code. The field is formatted to allow up to 2 decimals. If the employee tracks his/her time via computer using Excel, the total hours will sum in the TOTAL box for time entered into any of the date boxes for each TRC.Please note not all Time Reporting Codes reflect hours used. Parental Leave, and Personal Holiday, and Military Leave are used in day increments, not hour increments. Additional Information Required:z Relationship - for Sick Family / Funeral Leave: Required when Sick Family, Sick Death, or Funeral Leave are used. j Is Sick Related to Work Related Injury: Identify when sick used is due to a work related injury. K Subpoenaed Witness: Required when serving as Subpoenaed Witness.  Approval Signatures %Employee Signature/Date: Is Required MSupervisor Signature/Date: Is Optional IF the supervisor is the Dean/Director'))Dean/Director Signature/Date: Is RequiredComments: Optional After the timesheet/"Absence & Additional Time Worked Report" is signed, it is forwarded to the designated timekeeper per division/college operational procedures. Contact your Attendance Coordinator for detailsACCRUED BENEFITSTime Reporting Code DescriptionPersonal Holiday (1 work day) Sick Leave2Sick Leave (Death in Family) Relationship Required)Sick Leave (Family) Relationship RequiredVacationEARNED BENEFITSAdditional Day Off - Taken3Compensating Time Off (Using Time) (.25 Increments)Holiday Credit - TakenUSAGE ONLY LEAVE BENEFITSCitizen Time OffQChancellor s Office Designated Administrative Leave 1 (Must be authorized by the President and/or HRS)@Funeral/Bereavement Leave (Day increments) Relationship Required+Family Medical Leave 4 Must also post associated Sick or Vacation  + Employee must be on Approved FML. JD2 (Enter  SW in comments if for Subpoenaed Witness) Military Leave@ Parental Leave (Maternity/Paternity/Adoption) (Day increments)14 Union LeaveABSENCE WITHOUT PAY<AWOL - Unauthorized (Absence Without Leave) (.1 increments)- Enter  AWOL in comments when reporting AWOL. >LWOP - Approved Informal Leave Without Pay (.1 hr increments)PH (day)ML (day)PL (day)VDATES OF ABSENCES (Enter number of hours (or days, as appropriate) in the date blocks)EMPLOYEE NAME (LAST, FIRST, MI)OTHER TIME REPORTING CODESDOCK (L)DOCK (A) DOCK (A)wol DOCK (L)wop7Jury Duty/Subpoenaed Witness (Enter in hour increments)j] /s"*߄}, . 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