Biweekly Leave Report For Exempt Civil Service Staff Form printable pdf download

Biweekly Leave Report For Exempt Civil Service Staff Form

For Pay Period:

NIVERSITY OF

LLINOIS

Beginning: ___________________

IWEEKLY

EAVE

EPORT

Ending: ___

______________________

To be completed by Exempt Civil Service Staff Employees

who are not eligible for overtime compensation, based on

the provisions of the U.S. Fair Labor Standards Act.

Exempt Staff employees are required to report leave taken during each biweekly pay period.

EMPLOYEE NAME ________________________________________ UIN __________________

* Enter total approved leave taken for the two-week

Usage *

pay period in full or half days, with the exception

Leave Description

Days

Hours

of Leave Without Pay.

Vacation

Sick Leave

Funeral Leave

Jury Leave

Military Leave

Other Paid Leave

Leave Without Pay **

** Enter Leave Without Pay in full days only.

The leave usage reported above accurately represents leave time taken for this pay period.

Employee Signature ____________________________________________ Date _______________

Department Name __________________________________________________________________

Departmental Approval _________________________________________ Date ________________

Notes to Employees and Departments

• Exempt Civil Services Staff employees are expected to be present at their work sites during their normally

scheduled work hours. If unexcused absences or attendance patterns should become recurring problems,

employees may be subject to disciplinary action.

• Leaves, with the exception of Leave Without Pay, may be reported in full or half day increments.

• The Fair Labor Standards Act stipulates that employers may not withhold the pay of exempt employees for

partial day increments. In cases where exempt employees have exhausted Sick Leave and Vacation accrual

balances and need additional time off, Leave Without Pay should be reported for full day absences only.

• This form must be kept by the department for a minimum of four years.

08/06

Biweekly Leave Report For Exempt Civil Service Staff Form