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Vacation Tracker 49

This document is a vacation and sick leave record for exempt employees. It tracks employee information like name, department, and dates of hire. It also tracks hours of vacation and sick leave taken each month with codes to indicate the type of leave. Instructions are provided on how to complete the form and use codes for different types of leave.

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Milin Anik's
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50 views2 pages

Vacation Tracker 49

This document is a vacation and sick leave record for exempt employees. It tracks employee information like name, department, and dates of hire. It also tracks hours of vacation and sick leave taken each month with codes to indicate the type of leave. Instructions are provided on how to complete the form and use codes for different types of leave.

Uploaded by

Milin Anik's
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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VACATION AND SICK LEAVE RECORD FOR EXEMPT EMPLOYEES Year 20_____

See Reverse Side for Instructions

HOURS OF VACATION HOURS OF SICK LEAVE*

Last name First Name and Initial PSU ID Date of Hire

College or Administrative Area Department Job Title

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

JAN

FEB

MAR

APR

MAY

JUNE

JULY

AUG

SEPT

OCT

NOV

DEC
Employee’s Approved Employee’s Approved Employee’s Approved
Month Date Date Month Date Date Month Date Date
Initials Initials
Initials Initials
Initials Initials TOTAL
JAN MAY SEPT
FEB JUNE OCT PERSONAL HOLIDAY
Was Personal Holiday carried over from last year?
MAR JULY NOV Yes No
APR AUG DEC If yes, circle the P on the date used. (see symbols on back of card).

09/05 *Exempt staff who began exempt employment prior to October 1, 1992 continue on their former sick leave plan and do not complete the sick leave section. (Digital replica Form G5.1) MPC77909tvh
INSTRUCTIONS
Record all absences by indicating the proper code in the block provided for that date.
• The card shall be initialed each month by the employee and his/her supervisor to indicate agreement on the part of both as to the accuracy of the figures for the
month in question. You must complete and initial the card in ink.
• Duplicate cards may be maintained by the employee and his/her supervisor.

• The original card is to be forwarded via the Human Resources Representative or Director of Business Services to the Office of Human Resources, Box 18
Rider Building, University Park by February 15 of the following year.

• For terminations occurring during the calendar year, the original card is forwarded immediately upon termination rather than being held until February 15.
• Note: for time missed from work, number of hours not worked should be listed with appropriate symbol. (For example: 8 hours of family sick time = 8SF)

EXAMPLES OF USE OF SYMBOLS

Full day sick family leave used Full day sick leave used
A
Accident covered by Workers’ Comp.,
charged as 1/3 day sick leave SF NP Full day absence without pay
S V
Full day vacation used

Full day sick leave used

A
Accident covered by Workers’ Comp.,
Full day sick family leave used
NPA
Full day absence without pay used SA VA
Full day vacation used

charged as 1/3 day vacation time SFA under FMLA* provisions under FMLA* provisions under FMLA* provisions under FMLA* provisions

Full day holiday compensatory Full day sick leave


C time off used GA
PA National Guard – Active Duty;
no limit OP
Full day – other paid time used;
ambulance driving, jury duty, etc.
S charged to vacation

Full day holiday compensatory time


CA PA National Guard – Field Training; Personal holiday
off used under FMLA* provisions GT maximum 15 days/year P
Full day approved
F funeral leave H
Holiday
PA
Personal holiday used
under FMLA* provisions
*FMLA—Family and Medical Leave Act
Refer to HRG–11 in the Policy Manual

Military Reserve absence;


MR maximum 15 days/year

VACATION ACCUMULATION CHART


Vacation is accumulated according to the following schedule: Maximum
Monthly Rate Accumulation
of Accumulation Allowed**
16 hours 240 hours
During the first twenty-five (25) years of continuous employment in a
standing or fixed-term l position 18 hours 264 hours

From the beginning of the twenty-sixth (26th) continuous year and thereafter

**See HR-88 for calculating maximum vacation accumulations for such appointments.

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