Instructions for the Completion of the
APPLICATION FOR LEAVE OF ABSENCE FORM
These forms must be completed in either black or blue ink. No correction fluid
may be used. If it is necessary to make a correction on the time card, please neatly
draw a line through the erroneous entry and write the correct information above the error.
The employee's supervisor must initial all corrections.
The forms should be submitted to the Payroll Office (Room 106, ADM Building) with the VHCC TIME RECORD CARD covering the period in which the
leave is taken.
It is the supervisor's responsibility to see that the forms are calculated
accurately and have been completed properly.All leave
categories marked with an asterisk which includes: Annual Leave,
Administrative Leave, Community Leave, Compensatory/Overtime Leave, Family and
Personal Leave, and Military Leave are to be approved in advance by
the Supervisor. As circumstances warrant, supervisors may approve leave verbally and
note verbal approval on comment line of leave form. Sick leave forms are
to be completed and submitted to supervisor upon return to work. Please
submit different types of leave and leave taken on non-consecutive days on
separate leave forms. Note: If using Community Leave, mark
"School Leave" on the current leave form.
Items to be completed are detailed below; you may click each area of the leave
form to go to references:
-
Employee's Name - PLEASE PRINT.
- Employee's Signature.
-
Employee's Social Security Number - REQUIRED.
- Date the form is submitted by the employee to his/her supervisor for
approval.
-
Number of hours of leave requested (must be submitted in tenths of an hour;
use the chart below to convert minutes into tenths of an hour) OR
-
Number of days of leave requested.
- Time
and date leave begins.
-
Time and date leave ends.
- This section is used by employees who are still on the "Standard" Leave
program and did not convert to VSDP.
- This section is used by VSDP
participants.
- Comments.
-
Date of Supervisor's signature. Current date
only.
-
Supervisor's signature recommending that leave be granted as requested by the
employee.
-
For Human Resources use only.
Conversion of Minutes to Tenths of an Hour
| Minutes | Hours |
| 1 - 6 | 0.1 |
| 7 - 12 | 0.2 |
| 13 - 18 | 0.3 |
| 19 - 24 | 0.4 |
| 25 - 30 | 0.5 |
| 31 - 36 | 0.6 |
| 37 - 42 | 0.7 |
| 43 - 48 | 0.8 |
| 49 - 54 | 0.9 |
| 55 - 60 | 1.0 |
