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Vacation Plan Worksheet

An employee and supervisor use this form when the employee is at or near the maximum vacation accrual.

 

  1. The employee fills out the top line and gets the information for the second line from the department personnel assistant.
  2. The employee completes the "Employee's Vacation Request" box. The hours requested should be enough to bring the balance below the maximum by at least one month's worth of accruals.
  3. The supervisor fills out the "Supervisor's Response" box.
  4. The employee and supervisor fill out the left side of the section marked "Agreement and Time Record." The supervisor retains the original and gives the employee a copy.
  5. As time goes by, the employee and the supervisor each record the actual hours, until the plan is carried out.

 

Vacation Plan Worksheet (MSWord)

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