Note: The Eagan DDE System (Under D385) provides employees’
hire date, work hours in the last 12 months, and current leave
balances, including FMLA and sick leave for dependent care.
(Employee’s Name)
Pay Period
Week 1
Week 2
No.
From (Date)
To (Date)
Sat
Sun
Mon
Tue
Wed
Thur
Fri
Sat
Sun
Mon
Tue
Wed
Thur
Fri
09
10
11
12
13
14
15
16
17
18
19
20
21
22
18
Aug. 9
Aug. 22
23
24
25
26
27
28
29
30
31
H
01
02
03
04
05
19
Aug. 23
Sept. 5
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
Sept. 6
Sept. 19
20
21
22
23
24
25
26
27
28
29
30
01
02
03
21
Sept. 20
Oct. 3
04
05
06
07
08
09
10
11
12
H
13
14
15
16
17
22
Oct. 4
Oct. 17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
23
Oct. 18
Oct. 31
01
02
03
04
05
06
07
08
09
10
H
11
12
13
14
24
Nov. 1
Nov. 14
15
16
17
18
19
20
21
22
23
24
25
26
H
27
28
25
Nov. 15
Nov. 28
29
30
01
02
03
04
05
06
07
08
09
10
11
12
26
Nov. 29
Dec. 12
13
14
15
16
17
18
19
20
21
22
23
24
H
25
26
Dec. 13
Dec. 26
01
27
28
29
30
31
H
01
02
03
04
05
06
07
08
09
02
Dec. 27
Jan. 9
Attendance Related Actions & Dates (See Instructions)
Reviewing Supervisor’s Comments, Signature & Date
Jan.
Feb.
March
April
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
3972
PS Form
, October 2002 (Page 2 of 2)