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EMPLOYEE ATTENDANCE RECORD Year: __________
Name: _______________________ Personnel No.: ________________ Department: __________________ Position #: __________
Date of Hire: __________________ Supervisor: ____________________ Vacation Entitlement = ______________
Plus Vacation Carryover + ______________
Total Vacation Days Due = ______________
MONTHLY SUMMARY
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S
B
F
V
M
O
X
W
L
JUL
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
MAY
JUN
YEARLY TOTAL
Codes: S - Sickness/ Accident V - Vacation X - Indicates leave without pay F - Family/Floating Leave
B - Bereavement Leave M - Maternity/Paternity Leave O - Time off in lieu of compensation for overtime W– Workers’ Compensation
L - Long Term Disability / - Indicates ½ day absences
Remarks: Absences only need be recorded by entering the appropriate code.
Overtime may be recorded separately or on the back of this form by entering the number of excess hours.
Signature of Immediate Supervisor: _________________________________________ Date: _______________________________