Employee Alternate Work Schedule (Aws) Option Form

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EMPLOYEE ALTERNATE WORK SCHEDULE (AWS) OPTION FORM
1. EMPLOYEE’S NAME:
2. REQUESTED AWS ACTION:
Start
Change
Discontinue
Last:
First:
MI:
3. REQUESTED EFFECTIVE DATE:
4. PAY PLAN:
6. GRADE:
5. SERIES:
7. STEP:
10. DEPARTMENT/SECTION:
8. POSITION TITLE:
9. ORGANIZATION
Tel:
11. CURRENT BIWEEKLY WORK SCHEDULE:
Select
12. REQUESTED BIWEEKLY WORK SCHEDULE:
5-4-9: Includes eight (8) workdays of nine (9) hours each plus one (1) workday of eight (8) hours
within the biweekly pay period. Requested Day Off:
Select
Select
4-10: Includes eight (8) workdays often (10) hours each biweekly pay period. Each workweek will
have forty (40) hours of work in it. Requested Day Off:
Select
Select
6-12-8: Includes six (6) twelve (12) hour workdays and one (1) eight (8) hour workday in the
bi-weekly pay period.
Requested Day Off:
Select
Select
2-8, 2-12: Two eight (8) hour and two twelve (12) hour work days in an administrative work week.
Requested Day Off:
Select
Select
Other: Includes requests for flextime.
13. EMPLOYEE'S SIGNATURE:
14. DATE:
16. APPROVED EFFECTIVE DATE:
15. MANAGER’S DECISION:
Approved
Disapproved
17. MANAGER'S SIGNATURE:
(Attach reasons for disapproval)
18. DATE:
19. CPAC REPRESENTATIVE'S SIGNATURE:
20. DATE:
21. UNION’S DECISION:
Approved
Disapproved
22. UNION REPRESENTATIVE'S SIGNATURE:
23. DATE:
CBA Form 1

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