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Calendar Year;Original timesheet never submitted because (please explain)1Correction to original submission (copy attached)Other Reason (please explain)$Please select a reason from the listExplanation (if applicable): PAY/EARNINGSAdministrative Leave Annual LeaveCommunity Service LeaveOvertime LeaveLeave Without PayMilitary Leave Taken;LEAVE TAKEN/USED (Drop down menus are located in each row.)Dec 25 - Jan 09Jan 10 - Jan 24Jan 25 - Feb 09Feb 25 - Mar 09Mar 10 - Mar 24Mar 25 - Apr 09May 10 - May 24May 25 - Jun 09Jun 10 - Jun 24Jun 25 - Jul 09Jul 10 - Jul 24Jul 25 - Aug 09Aug 10 - Aug 24Aug 25 - Sep 09Sep 10 - Sep 24Sep 25 - Oct 09Oct 10 - Oct 24Oct 25 - Nov 09Nov 25 - Dec 09Nov 10 - Nov 24Dec 10 - Dec 24Special leave code usedCompensatory Leave Earned5Classified Exempt Employees (submitted by pay period)Compensatory Leave#Personal/Family (Employees in VSDP)Feb 10 - Feb 24----------------------------!Worker's Compensation Leave Taken Dept Budget: Dept Phone:The following special leave codes require the use of this form: Leave Without Pay, Worker's Compensation Leave Taken Sick Leave-Sick Family Leave (Employees in Accrued Sick)Apr 10 - Apr 24Apr 25 - May 09Print Employee NamePrint Supervisor NamePrint Budget Unit Director NameParental Leave TakenRecognition Leave TakenFMLA Annual Leave TakenFMLA Flex Holiday Leave TakenFMLA Recognition Leave TakenFMLA Sick Leave - GeneralFMLA Compensatory Leave TakenFMLA Personal/Family LV TakenFMLA Sick Family LV Taken Rev. 2/3/2023RbH vI  KLLqMNNeP2Qcc PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vȉ<&J &M5BNe tY>?#!mfKx=[Ԃu}ˆ ~umoLz^W/}ةLo;9iwk/_tV[,ac߬56YvYp1ϡAz 9ۮ7ެe ."Zk1~EȰ RӔ/x$( :7vʗsSj{"bF^x^xz?>~,ɸ7Gg_zy5^|?}V I򋧿>OQ>19ٵ<Ÿ8ߊaG@tOE*\ʻ/ yToN:"1Q(v; y4<$jbRa|PŻǴI Y3wJG݈8b2(<& QHT^w/B(`Z!94[Mc˴j`jG7;Q]o YC5*CocU 9 IQ/ RV+`%*;æWѼ9/#~7qZ$*cߓrUngN>%OOi Dh[BvoLJƌB6>p&>w O]>.ɲ,5,<ؾt&9 ԔEЇIIqhJ#f6kAS&2D)p3ӕ5teO`jvzEOG)9cshger-# ~fu-ԙՍh&9܊- 6 AлY3hX"M$#Fz6#b.w*lyhĭɾ̮]nR3+=,)'Kak.zi X 8Ka6!_ 5[ M܆< kW Ds/Z/j@&8?&5- C⫲K3Zw1K|D!`~J0A?Uֶy&,Xg1K#[y$[BTV)bBRvVt=낕@[\׶Dž8d4~_@`rx \kp*O69mY&ԧ HE]HKN!Vj%2BƣJԊ=" u\ӵC&Y0>g4&oN)j rihr"VTU,koy#ŬjQJpRk3܎Ws;ɢ!JT~u "֠ۀW_ Nq֙4)ڬuZˋw֒TvќXHegvtm,{2Da*20V=CoOQ2'@C8D.IrG[Ȥiࠆ)d͛|?&f9>b|w##(ɇ"C *_p=ce΂aenv*Wm瓗{varAˇ$IDpKs6* ʢG0egAnlCYt֏$Ysă)2|FS` uz'Xr*󠍒F`Bi m/Ҷj9Xrmox86tFo˜ b`>ASDbƟPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!ÄA theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] fbzl9ޕB ZO -@  dMbP?_*+%&Q?')\(?()\(?)RQ?M \\admin2print\fin-mark C odXXLetterDINU"  &+X SMTJ IUPH)xjQ$EJ7Vb]*Aj+JL&X+ Eh&ZI )]] >DV܆>o&3a2=cT'u_8s'ޛ=Cқ)ViN qHy'핆[gH fDVŖ6^$ C"?8OD}P9]FKilyz' dCڔ4Bb! sNvEZDI,W<<߄vf\7MVa) R±s$I:9;ؕ5e k6V<r#nQO;+Y?W<N!>3xNΎJB?X?wҭ_ !/93Pu-LauM3bJ>9yBsRXw2S-y_÷FLTS"{aD;p#vgns+Q٠/51Й%Fg8Ve w%DE*shE5uoSׄ2_@ Ǹ)2_-pl=᎐YrBQz>,,ן.s/.3]ؿղϲʱں>!<'jPPPPPPPPPPPP茓??f{  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJLMNOPQRSTUVYZ[\]_`acdefh@ҋB `,B@ r0j Sheet1$5Arial@@ҋB `<B  0relCheckBox2Sheet1ox5Arial@@ҋB `<B  X0heeCheckBox3Sheet1ox5Arial/Y@ҋB `,B@ r0j Sheet15Arial@g7@c<"_XX?(\?&U} qD}  D} D} UD} D}  D} "D} D} D} UD} D} D} UD}  D}  DColumn U-\\,P@8@8@ ,  , , , ,,,,@,,@,@,@8,88,,,,,8 * 4*,I[[[[[[[[[[[[[[[[[\ i  "[UU[[[[[[\,I[[[[[[[[[[[[[[[[[\ jwxxxxy k [  z{\,I[[[[[[[[[[[[[[[[[\ k: ;[[[[[\,][[[[[[[[[[[[[[[[[\" B DBt$ ? 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