Payroll/personnel Catastrophic Leave Sharing Vacation Hours Transfer Authorization Form

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PAYROLL/PERSONNEL
CATASTROPHIC LEAVE SHARING
VACATION HOURS TRANSFER AUTHORIZATION FORM
Recipient Name ________________________ Employee Number ________________________ In HBS? o Yes o No
The following employee(s) have authorized accrued vacation leave hours to be donated to the above recipient
who has been determined eligible to receive catastrophic leave donations.
The donated vacation hours are being transferred as of (Month/Year) ______________ /_________.
Donor
Donor
Donated
Employee Name
Employee Number
Vacation Hours
_______________________________ ________________________
_________________
In HBS? o Yes o No
_______________________________ ________________________
_________________
In HBS? o Yes o No
_______________________________ ________________________
_________________
In HBS? o Yes o No
_______________________________ ________________________
_________________
In HBS? o Yes o No
Total Hours: _________________
I hereby certify that the above employee is eligible to participate in this program
and that donors have sufficient vacation leave to donate.
Department Head or Designee _____________________________________________ Date _____________________
Title __________________________________ Department ___________________ Phone _____________________
This form, when completed is to be considered confidential and should be forwarded to
Payroll, Box 0812, for processing vacation hour adjustments for recipient and donors.
FOR CAMPUS PAYROLL OFFICE USE ONLY!
Leave Adjustment
PPS ENTRIES
Prepared By ________________________________ Date __________________ Process In __________________
HBS ENTRIES
Prepared By ________________________________ Date __________________ Process In __________________
For PPS Entries
For HBS Entries
Recipient
Transaction
Element No.
Hours
Hours Sign
Accrual Type
Leave
Hours
Hours Sign
(Vacation Hrs.)
Employee ID
Code
Category
+
+
LA
5185
Earned
Vacation
Donor
Transaction
Element No.
Hours
Hours Sign
Accrual Type
Leave
Hours
Hours Sign
Employee ID
Code
(Vacation Hrs.)
Category
-
-
LA
5185
Earned
Vacation
-
-
LA
5185
Earned
Vacation
-
-
LA
5185
Earned
Vacation
-
-
LA
5185
Earned
Vacation

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