The Leave Request for Hourly (Non-Exempt) Employees form needs to be completed and approved in advance of leave taken except for illness, in which case the leave request needs to be completed and approved as soon as possible.
|Name:||Your name (Ex: John Smith, Willie Wildcat, etc.)|
|E-Mail Address:||Your complete e-mail address (Ex: email@example.com)|
|Dates/Hours of Leave - Recorded in 15 minute increments|
|From Date:||First day of requested leave|
|To Date:||Last day of requested leave|
|Total Hours Requested:||Ex: 1, 2.50, 4.25, 6.75, 8, 40, etc. Leave is recorded in
.25 hour increments.
Any time you plan not to be at work, leave needs to be requested and approved.
|Leave Type (Select one):|| Vacation Leave - VAC
Sick Leave - SCK
Funeral Leave - FNL
Jury Duty - JRY
Military Leave - MIL
Leave Without Pay
Discretionary Day - DDY
Holiday Compensatory Time - HCT
Reason for Leave or Other Absence (Optional):
|(Ex: Disaster Leave - DIS (flood, tornado, etc.), Donor Leave - DON (organ, tissue, bone marrow, blood donation procedure), etc.|
|Supervisor's e-mail address:||(Required for on-line submission) Your supervisor's complete e-mail address (Ex: firstname.lastname@example.org)|
A copy of the request will be sent to the employee's e-mail address. This provides the employee with a copy of the message sent to their supervisor. The supervisor will receive the following type of message:
Purpose: This is a leave request.
Reply to the employee's message to approve or disapprove the leave.
Employee may forward approved leave to the department timekeeper.
Name: "Employee's Name"
Leave_type: Vacation Leave-VAC
From_Time: 8:00 a.m.
To_Time: 5:00 p.m.
As the e-mail message indicates, the supervisor should reply to the requestor to approve or deny the request for leave.
Questions regarding this process should be directed to Alma Deutsch, Division of Human Resources at (785) 532-1448 or email@example.com.
Is this Family Medical Leave Act related? If yes, refer to FMLA