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PART A:
PART B:
MONTH
SICK
ACCRUED
SICK USED SICK
BALANCE
VACATION
ACCRUED
VACATION
USED
VACATION
BALANCE
OTHER
EARNED
OTHER
USED
JAN
FEB
MAR
APR
MAY
JUNE
JULY
AUG
SEPT
OCT
NOV
DEC
TOTAL
PART C:
hours
hours hours
hours
Other:
hours
*REMEMBER: Sick and Vacation entitlements may be affected by leaves of absence.
OTHER
BALANCE
2016 MONTHLY TOTALS (OPTIONAL)
HOME ADDRESS HOME PHONE
SIN #/EMPL #
2016 ATTENDANCE CALENDAR
EMPLOYEE IDENTIFICATION
NAME: DEPT/LOCATION/CLASSIFICATION:
UBC START DATE DEPT START DATE
ACCUMULATED LEAVE AT START OF CALENDAR YEAR
SICK CARRYOVER:
VACATION
CARRYOVER:
OTHER
CARRYOVER:
NOTE TO SUPERVISOR:
THIS RECORD MUST ALWAYS FOLLOW EMPLOYEES FROM ONE SUPERVISOR TO ANOTHER.
2016 Entitlement:
2016 Total: