My Benefits



1571625-25336500PTO Cash-out Election FormMUHW Technical Union2020Your Paid Time Off (PTO) Cash-out election for 2020 must be faxed or emailed to HR Service Center by Wednesday, November 20. This timeframe restriction is necessary to avoid taxation on the value of your PTO bank, including the hours that you do not intend to cash-out. Your election is irrevocable and cannot be changed. If you are eligible for all benefits (not just PTO) and electing a cash out to be paid in December 2020 please make your election in WorkDay prior to the end of Open Enrollment November 14.You may only cash-out hours that you will accrue during the calendar year in which you plan to receive payment. Consequently, you may not cash-out PTO hours carried over from previous years. (For example: Jane has a PTO balance of 100 hours as of December 31, 2019. During Open Enrollment, she elects to cash-out 40 hours in 2020. Jane cannot cash-out any of the 100 hours earned prior to January 1, 2020. She must plan her 2020 cash-out amount on only the hours she will accrue in 2020.) I elect to cash-out as indicated below. In addition, I understand that this election is irrevocable and cannot be changed. Furthermore, if I do not have enough available PTO accrued in 2020 at the point I am to receive this cash-out, my election will be decreased accordingly. Please complete the election below.Payroll Date to Receive PayoutNumber of Hours to be Paid out (may elect up to 80 hours in one-hour increments)1st pay in DecemberName ________________________________Workday ID ___________ SSN (Last Four)_______Colleague Signature________________________________Date __________-78105172720FAX COMPLETED FORM TO HR Service Center – 312-957-2567 or email to HR4U@trinity-DEADLINE TO SUBMIT IS NOVEMBER 20, 2019Zk0FAX COMPLETED FORM TO HR Service Center – 312-957-2567 or email to HR4U@trinity-DEADLINE TO SUBMIT IS NOVEMBER 20, 2019Zk ................
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