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Application for Voluntary Reduction in Work Schedule (VRWS)
Schedule for Use of VR Time

 
Name:
 
Agency Code:
 
Payroll Period__________
Th Fr Sa Su Mo Tu We Th Fr Sa Su Mo Tu We
No.: Dates Covered:
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                              

Instructions

  1. In Payroll Period column, indicate beginning and ending dates of each pay period covered by the agreement.

  2. For each pay period, indicate all days/time worked (include number of hours worked) and days/time not worked, that is, indicate all pass days and all VR time off. If you plan to use other accruals in conjunction with VR schedule, these days/this time should also be included in the schedule. Use the codes listed below to indicate category of days/time.

  3. Where the schedule repeats each pay period, fill out the schedule (include number of hours worked/not worked) and days off for the first pay period only and indicate "same" for subsequent pay periods.

  4. For partial day absences, indicate number of hours worked/off and code for category of leave (for example, 5.5-W; 2-VR).

Work/Leave Category Codes
VR - VR Leave AL - Annual Leave
W - Day Worked X - Pass Days

(9/00)