5R Leave Usage Submission

5R Leave Usage Submission

Please use this form to submit your monthly leave usage document for entry and approval. Submit even if you did not take any leave.

Please make sure that your monthly leave usage is ACCURATE.

First Name*

Last Name*

Banner ID Number*

Email Address*

Supervisor Email*

Select

Time Entry

Please enter the total number of leave hours taken for the month.

Pay Period Month*

Select

Annual Leave*

Please enter the total number of annual leave hours taken for this month. If none, please enter 0.

Sick Leave- Minor*

Please enter the total number of minor sick leave hours taken for this month. If none, please enter 0.

Other Leave Type

If you have taken another type of leave during this month, please select from below. Otherwise, please skip.

Select or enter value

Other Leave Hours*

Please indicate the hours specified for each leave type.

Comments

Employee Signature*

Checking this box serves as my signature on my time sheet. I have reviewed my leave usage submission and made sure the following were correct and accurate:

BANNER ID

NAME

PAY PERIOD

TIME ENTRY

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