Form Hud 260.2 - Leave Record For Part-Time Employee - 2011

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2011 Leave Record
U.S. Department of Housing and Urban Development
for Part-Time Employee
Office eof Human Resources
Name
SSN
Leave Category
Annual Leave
Annual Leave Balance as of (mm/dd/yyyy)
Sick Leave 1 hr. earned per 20
Sick Leave Balance
(
) hours earned per
hrs. worked
as of
(
) hours worked
a.
b.
c.
d.
e.
a.
b.
c.
d.
e.
Carryover hrs.
Total hrs.
Total hrs.
Annual leave
Carryover to
Carryover hrs.
Total hrs.
Total hrs.
Sick Leave
Carryover to next
Pay Period
from pror ppd
worked this ppd
earned this
next ppd.
from prior ppd.
worked this
earned this
ppd.
No.
Dates
ppd.
ppd.
ppd.
01
Jan 3 - Jan 16
02
Jan 17 - Jan 30
03
Jan 31 -Feb 13
04
Feb 14- Feb 27
05
Feb 28 - Mar 13
06
Mar 14 - Mar 27
07
Mar 28 - Apr 10
08
Apr 11 - Apr 24
09
Apr 25 - May 8
10
May 9 - May 22
11
May 23 - June 5
12
June 6 - June 19
13
Jun 20 - July 3
14
July 4 - July 17
15
July 18 - July 31
16
Aug 1 - Aug 14
17
Aug 15 - Aug 28
18
Aug 29 - Sept 11
19
Sept 12 - Sept 25
20
Sept 26 - Oct 9
21
Oct 10 - Oct 23
22
Oct 24 - Nov 6
23
Nov 7 - Nov 20
24
Nov 21 - Dec 4
25
Dec 5 - Dec 18
26
Dec 19 - Jan 1 2011
Previous editions are obsolete
form HUD 260.2 (1/2009)

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