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All professional staff must complete this attendance report and submit it to their Supervisor/Department Head/Chair by the fifth of the following month.
UNIVERSITY AT BUFFALO
Management Confidential Professional Employees
Monthly Attendance and Leave Report
To: Supervisor/Department Head/Chair
Except for those absences noted below, chargeable to vacation, sick leave, holiday compensatory time, floating holiday
or deficit reduction leave (DRL), I have not been absent for the month of
No Chargeable Absence
Vacation/Annual Leave (calendar/college year appointments only)
No. Days Used
Sick Leave
Regular Used
Family Used
Holiday Compensatory Time (calendar/college year appointments only)
No. Days Earned
No. Days Used
Floating Holiday (calendar/college year appointments only)
No. Days Earned
No. Days Used
Deficit Reduction Leave
No. Days Earned
No. Days Used
CHECK IF APPLICABLE:
Sabbatical Leave Dates (Vacation and/or sick leave credits cannot be used or accrued)
Leave With/Without Pay Dates and Type
Jury Duty Dates (A copy of subpoena for jury duty must be attached to this form. No accrual charges.)
Military Leave with Pay (No. of Days ) Dates
Workers Compensation Leave Dates (Submit C-2 or documentation for restoration of accruals)
Productivity Enhancement Program (PEP) (Forfeit vacation leave accruals appropriately)
*Compensatory days off shall be scheduled at a time mutually convenient within 1 year from the day they are granted.
**Deficit Reduction Leave earned on 11/15/11 must be used by 3/31/13.
ACCRUAL USE AND SUMMARY
VACATION/ANNUAL SICK LEAVE HOLIDAY FLOATING
ACCRUAL USE LEAVE DAYS COMPENSATORY TIME HOLIDAY
IN DAYS DAYS USED DAYS* DAYS
Earned Used Balance Earned Regular Family Balance Earned Used Balance Earned Used
Balance Brought Forward
Current Month 0.00 0.00 0.00
New Balance 0.00 New Balance 0.00 New Balance 0.00 New Balance
Note: For full-time employees, record partial days absence as .75, .50, .25.
Absences for personal reasons must be charged to vacation, holiday compensatory Employee Name (Please Print)
leave or floating holiday credits. Academic year appointments do not accrue vacation
credits. Part-time employees must accrue in days.
SUPERVISOR: Leave credits accrued and used each month must be posted to Employee Signature
Semiannual Attendance and Leave Report.
Note: For full-time employees, record partial days absence as .75, .50, .25.
Absences for personal reasons must be charged to vacation, holiday compensatory
leave or floating holiday credits. Academic year appointments do not accrue vacation
credits. Part-time employees must accrue in days.
SUPERVISOR: Leave credits accrued and used each month must be posted to
Semiannual Attendance and Leave Report.
Department
Supervisor/Department Head/Chair
Signature
All professional staff must complete this attendance report and submit it to their Supervisor/Department Head/Chair by the fifth of the following month.
UNIVERSITY AT BUFFALO
Management Confidential Professional Employees
Monthly Attendance and Leave Report
Except for those absences noted below, chargeable to vacation, sick leave, holiday compensatory time, floating holiday
, 2018
(Vacation and/or sick leave credits cannot be used or accrued)
(A copy of subpoena for jury duty must be attached to this form. No accrual charges.)
(Copy of orders must be attached)
(Submit C-2 or documentation for restoration of accruals)
ACCRUAL USE AND SUMMARY
FLOATING DEFICIT
HOLIDAY REDUCTION
DAYS LEAVE (DRL)**
Balance Earned Used Balance
0.00 0.00
0.00 New Balance 0.00
Employee Name (Please Print)
Date
Person No.
Supervisor/Department Head/ChairDate
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