SOUTHERN ADVENTIST UNIVERSITY
PAID LEAVE TIME SHEET
ALL PAID LEAVE, EXTENDED SICK LEAVE (LONG TERM), JURY DUTY, AND FUNERAL LEAVE (IMMEDIATE
FAMILY) HOURS MUST
BE SUBMITTED ON THIS FORM AND TURNED IN TO THE PAYROLL DEPARTMENT.
PLEASE TURN IN ONE PAID LEAVE TIME SHEET PER PAY PERIOD.
EMPLOYEE _____________________________________ ID#_______________ DATE__________________
DEPARTMENT/INDUSTRY _________________________ FULL-TIME PART-TIME
TIME REPORTED: ( Appropriate box)
PAID LEAVE
EXTENDED SICK LEAVE (LONG TERM)
9
JURY DUTY
FUNERA
L LEAVE (IMMEDIATE FAMILY)
Your relationship to deceased ___________________
Place of funeral: within 300 miles over 300 miles
IMPORTANT: Report all time on per day basis according to number of hours employee would normally have worked
had s/he been on the job.
Date________________________ Hrs. ________ Date____________________________ Hrs.________
Date________________________ Hrs. ________ Date____________________________ Hrs.________
Date________________________ Hrs. ________ Date____________________________ Hrs.________
Date________________________ Hrs. ________ Date____________________________ Hrs.________
Date________________________ Hrs. ________ Date____________________________ Hrs.________
Total Hours Off _____________ Total Paid Leave Hours ______________
Employee Signature __________________________________
Department/Industry Signature __________________________
Send to PAYROLL. If you wish to have copies, please do so before submission.
NOTE: Blank PAID LEAVE TIME SHEETS may be copied as needed.
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