HR: Personal Leave BuyBack-Admin

PERSONAL LEAVE BUYBACK FORM
ADMINISTRATIVE STAFF

Per Administrator Bargaining/Salary Agreements

Personal Leave not used by June 30^th:

• Must roll 2 Personal Days into next year before buyback
• Up to 3 Personal Days can be bought back
• Buyback is at June’s Per Diem rate of pay
• Buyback form must be submitted to Payroll by June 30^th
• If forms are not received in Payroll by June 30^th, 2 days of Personal leave will be rolled into next years balance, and the unused balance will be forfeited
• Buyback will be processed on the end of July pay check

Please fill out, sign and return this form to the Payroll Dept by June 30^th

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(Print legal name)

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(Signature)                                                                                    (Date)

(May 2019 cb)