VACATION/SICK LEAVE/OVERTIME REPORT
Month ____________________ Year ________ District/County _________________________________ Employee Name NIS Address Book # Day of Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Monthly Totals Vacation Sick Funeral Other Comp. Earned Comp. Used
Prepared by:____________________________________________________________ Indicate deviations from normal work day above V=Vacation, S=Sick, F=Funeral, CE=Comp Time Earned, CU=Comp Time Used M=Military, I=Injury, H=Holiday, C=Civil, A=Administrative, LOA= Leave Without Pay FMLA/S=Family Medial Leave Sick, FMLA/V=Family Medical Leave Vacation