INSTRUCTIONS: PLEASE READ BEFORE COMPLETING THIS REPORT
1.
This Time and Service Report is to be completed by every classified employee who is in a regular salaried pay status. It is not to be
used for the following:
a.
OVERTIME Report overtime hours on the special half sheet form, EmployeeTime Ticket. Overtime pay is provided in
accordance with present federal and state law. Any overtime, which is claimed, must have prior approval of your
supervisor.
b.
HOURLY PAID employees (those who are not on a salary) will use the above EmployeeTime Ticket to report their
regular hours of work.
th
All payroll forms must be signed and submitted to your supervisor at the end of the service or shift on the 15
OF THE MONTH.
Each supervisor will collect the signed payroll sheets for each employee under his/her supervision, review them for accuracy and
completeness, certify this review by signing each sheet, and submit all reports immediately to the Payroll Office.
2.
In completing the reverse side, list the actual hours of absence in the correct column opposite the monthly date of each working day.
Also, for each hour of absence, put the correct absence code that describes the reason for the absence.
ABSENCE CODES
S
Illness or Injury, including medical or dental visitations
SC
Onthe job injury, (Worker's Compensation)
E
Personal Necessity, (chargeable to Sick Leave)
B
Bereavement,
(state
relationship)_______________________________________
Location_____________________________
C
Required Jury Duty/Court Appearance, (a copy of the subpoena or jury summons must be submitted in advance to the
supervisor who attaches it to this Service Report.)
M
Military Leave, (a copy of military orders must be submitted to the supervisor, who sends it to the Director, Human
Resources. Advance approval of the Board of Trustees is required.)
A
Authorized Board Absence, (prior approval of the Board of Trustees is required. Requests are made in advance to the
supervisor/manager.)
V
Vacation, (prior approval of the responsible Dean or Vice Chancellor is also required for the annual vacation plan and for
changes requested. Vacation may be taken in onehour increments with supervisory approval. For unscheduled vacations
or changes in scheduled vacations, please use the Request for Leave of Absence or Floating Holiday form.)
W
Leave Without Pay, (prior approval of the responsible Dean or Vice Chancellor is required. Leave without pay in excess of
30 days must have Board of Trustees approval.)
U
Unauthorized Leave Without Pay
R
Release Time (Approved)
3.
Weekend days off: Weekend days off should be left blank unless you work Saturday or Sunday as part of your regular assignment.
In this case, leave the two days blank each week that you actually take off.
4.
Adjustments in salary which are necessary as a result of this Time and Service Report will be made in the following month's
paycheck.
5.
IF YOU DO NOT WORK ON A FULLYEAR ASSIGNMENT: When you return to work in the Fall, write "Begin Year"
opposite the correct date. On the last day of your assignment in the Spring, write "End Year" opposite the correct date. This will
prevent any errors in your either being underpaid or overpaid.
Human Resources
(Classified Service Report) Revised 6/19/03
(DO NOT USE PREVIOUS EDITION)