EMPLOYEE ATTENDANCE RECORD
[Pages:1]EMPLOYEE ATTENDANCE RECORD
Year: __________
Name: _______________________ Personnel No.: ________________ Department: __________________ Position #: __________
Date of Hire: __________________ Supervisor: ____________________
Vacation Entitlement Plus Vacation Carryover Total Vacation Days Due
= ______________ + ______________ = ______________
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
MONTHLY SUMMARY 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 S B F V M O X W L
Codes: S - Sickness/ Accident V - Vacation
X - Indicates leave without pay
B - Bereavement Leave M - Maternity/Paternity Leave O - Time off in lieu of compensation for overtime
L - Long Term Disability
Remarks: Absences only need be recorded by entering the appropriate code.
Overtime may be recorded separately or on the back of this form by entering the number of excess hours.
YEARLY TOTAL
F - Family/Floating Leave W? Workers' Compensation / - Indicates ? day absences
Signature of Immediate Supervisor: _________________________________________
Date: _______________________________
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