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HomeMy WebLinkAboutAO 27 Absence Report 07011981 Active.PDF ADMINISTRATIVE ORDER NO . 27 TO : Department & Division Heads July 1 , 1981 FROM: Lee Kraft , City Manager SUBJECT: ABSENCE REPORT . i Effective immediately , the following policy and procedure shall be implemented: Each department head shall maintain an adequate and accountable system for handling and recording the taking of leave in his/her department . All department heads , or their designates , shall require the use of the City of Pasco Absence Report form (specimen copy attached) for all absences . If applicable , absences of employees represented under a Union agreement , shall be treated in conformance with that particular agreement . A request for: leave of absence , vacation , vacation without pay , military leave , or jury duty , must be made within 48 hours prior to the leave (except in unforeseen emergencies) . The department head , or his/her designate , shall i approve/disapprove these requests . The City Manager , or his designate , shall approve/disapprove requests relating to department heads . As to sick leave , the employee ' s first notification of sickness shall include the nature of the affliction . Upon notification of sickness , the employee ' s supervisor shall cause the Absence Report form to be made out , which form shall be completed when the employee returns to work , at which time , the employee ' s department head shall act on the sick leave request . A doctor' s signature is required if more than three days sick leave is taken . A supply of forms shall be maintained in the Administrative Assistant ' s office . LFK: pt attachment i City of Pasco ABSENCE REPORT NAME— DEPT. From_. _._AM_ — "'- ;�+° -i. �,• t r��. Day Yr. a �31'�erN•'�6..+i�.3:• t ,r{r- Ta_ .M PM - --Mo— ---- Day Yr. No. of days 4' I REASON FOR ABSENCE _ (check square) ❑ Vacation ❑ Vacation without pay ❑ Jury Duty ❑ Military leave ❑ Leave of absence d� Other ❑ Discipline (Request for leave must be made within q --- 8 hours except In extreme emergencies.) _ Approved Dept. Head Ir1?'� fdd,"s•/!�4' .t1: '°�` PProveQ ---- City Manager REQUEST FOR SICK LEAVE From_ _. _ _ AM PM Mn. - - - -- - - - -- Day - - Yr. -- To- AM _ PM Mo. Day -_----- Yr. - � No. of days n for request w� .aei;°�!;Cyt .r 'yY quest �. �► 6. _ Doctor's Signature I.r . • � , _. _ ..._ - _ .. - - ,, - ,� w ► . r , y� .•� � .. a • 4. -. (Doctor's Signati, p r^q( jlred if more lhan3 days ysreauested) - - - Dept H,•ad -- - Approved .- RP :onfed -._ City Manager -:•" Finance Dept.- _ - - - Date __ a '�' ,ti�.j r��w.. �, . ar•r.:�:�t,.a.../-�v: M�..w... f ....?./ate Y ��r�,/C�.+�..�''yr r+ r . � '?„<,a.,�', K ..'•FF.4 � wA y°;:.-�'�' v : A � �% •"bn '.y,.i.. �...+• N -', h*., r:J:i .h' �.� 'Kf ,iv , nY .`y.o. tY:.£'VP. ry...:}�.a `i i5:r[:nr, x ltr �. bn