DELEG EMPLOYEE TIME AND ATTENDANCE REPORT "Employee Name (Last, First)" Employee ID Pay Period Ending Dept Agency TKU 64 01 SUN MON TUE WED THU FRI SAT WEEKLY TOTALS SUN MON TUE WED THU FRI SAT WEEKLY TOTALS PAY PERIOD TOTALS REG VR VR 1st Shift Straight Time 0.0 0.0 0.0 REG IL IL 1st Shift Straight Time 0.0 0.0 0.0 SKLV Sick Leave 0.0 0.0 0.0 ANLV Annual Leave 0.0 0.0 0.0 OTHER Other 0.0 0.0 0.0 HOL1 IL 1st Shift Overtime 0.0 0.0 0.0 OVT1 VR VR 1st Shift Overtime 0.0 0.0 0.0 OVT1 IL IL 1st Shift Overtime 0.0 0.0 0.0 OTX1 VR VR 1st Shift Exception Overtime 0.0 0.0 0.0 OTX1 IL IL 1st Shift Exception Overtime 0.0 0.0 0.0 BLTU Banked Leave Used 0.0 0.0 0.0 REG2 VR VR 2nd Shift Straight Time 0.0 0.0 0.0 REG2 IL IL 2nd Shift Straight Time 0.0 0.0 0.0 OVT2 VR VR 2nd Shift Overtime 0.0 0.0 0.0 OVT2 IL IL 2nd Shift Overtime 0.0 0.0 0.0 OTX2 VR VR 2nd Shift Exception Overtime 0.0 0.0 0.0 OTX2 IL IL 2nd Shift Exception Overtime 0.0 0.0 0.0 REG3 VR VR 3rd Shift Straight Time 0.0 0.0 0.0 REG3 IL IL 3rd Shift Straight Time 0.0 0.0 0.0 OVT3 VR VR 3rd Shift Overtime 0.0 0.0 0.0 OVT3 IL IL 3rd Shift Overtime 0.0 0.0 0.0 OTX3 VR VR 3rd Shift Exception Overtime 0.0 0.0 0.0 OTX3 IL IL 3rd Shift Exception Overtime 0.0 0.0 0.0 ADM1 Administrative Shift 1 0.0 0.0 0.0 DH/81 DH82 Deferred Hours 1981/1982 0.0 0.0 0.0 CMPE Compensatory Time Earned (x 1.5) 0.0 0.0 0.0 CMPU Compensatory Time Used 0.0 0.0 0.0 ILG Initial Leave Grant 0.0 0.0 0.0 LOST Lost Time 0.0 0.0 0.0 PLNA Voluntary Work Schedule 0.0 0.0 0.0 SCHL School Leave 0.0 0.0 0.0 UNO1 Union Activity 0.0 0.0 0.0 DAILY TOTALS 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Call Back (add to OT) EMPLOYEE MANAGER COMMENTS Date(s) of Leave Leave Requested Date Received Date Approv/Disapp Initials Employee Certification – I have completed the equivalent of a full pay period including use of leave credits. Employee Signature/Date NOTE: Any intentional misstatement on this form may be cause for disciplinary action "SUPERVISOR’S CERTIFICATION This is to certify that the time reported is complete and accurate. " Manager Signature/Date