PERSONIDorPERSASSIG COSTCENTER
SAPPERIOD# PAYPERIODBEGINDATE
MONTH DAY YEAR
Week1 DateAMPMWeek2DateAMPM
FRI FRI
SAT SAT
SUN SUN
MON MON
TUE TUE
WED WED
THURS
THURS
CHECK(√)ONLYONE(1)TYPEOFLEAVEPERFORM:
TYPEOFLEAVE
Reg.
Year
Summer
10‐MO
ONLY
P/T
Hrly
BusDrvrs.
&BusAides
ONLY
IllnessofSelf 0200 0230 0203*
Illness/DeathofRelative 0201 0231 0204*
Personal 0282 0232 0206*
InjuryatWork(Explain) 0285 0285 0207 0207*
ContagiousDisease
(ContractedatWork)
0286 0286 0208 0208*
Vacation 0283
TemporaryDuty(Explain) 0287 0287 0209*
LWOP,Auth(Explain) 0400 0400 0403*
LWOP,Unauth(Explain) 0401 0401 0404*
OTHER: 0219*
COMPENSATORYTIME 0284 0284 0500**
JURY
DUTY/SUBPOENAED
0288 0288 0210 0210**
OPTDAY 0289
ELECTEDOFFICIAL 0294 0294 0215**
MILITARYTRAINING 0296 0296 0217**
UNIONREPRESENTATIVE 0290 0290 0211**
UNIONOFFICIAL
BUSINESS
0291 0291 0212**
UNIONPOOLDAY 0292 0292 0213**
*Thesecodeswillinterfacefrom“legacy”toSAP,andcanalsobeusedon
the“ReportMiscellaneousPayrollTransactions”inputscreen.
**Thesecodeswillnot
interfacefrom“legacy”toSAP,andcanonlybeusedon
the“ReportMiscellaneousPayrollTransactions”inputscreen.
COMMENTS:_______________________________________________
__________________________________________________________
EMPLOYEENAME:__________________________________________
EMPLOYEESIGNATURE:______________________________________
__________________________________________________________
PRINCIPAL/ADMINISTRATORSIGNATURE
FM‐5949(01‐18)
THESCHOOLBOARDOFMIAMI‐DADECOUNTY,FLORIDA
APPLICATIONFORSHORTTERMLEAVE
PERSONIDorPERSASSIG COSTCENTER
SAPPERIOD# PAYPERIODBEGINDATE
MONTH DAY YEAR
Week1 DateAMPMWeek2DateAMPM
FRI FRI
SAT SAT
SUN SUN
MON MON
TUE TUE
WED WED
THURS
THURS
CHECK(√)ONLYONE(1)TYPEOFLEAVEPERFORM:
TYPEOFLEAVE
Reg.
Year
Summer
10‐MO
ONLY
P/T
Hrly
BusDrvrs.
&BusAides
ONLY
IllnessofSelf 0200 0230 0203*
Illness/DeathofRelative 0201 0231 0204*
Personal 0282 0232 0206*
InjuryatWork(Explain) 0285 0285 0207 0207*
ContagiousDisease
(ContractedatWork)
0286 0286 0208 0208*
Vacation 0283
TemporaryDuty(Explain) 0287 0287 0209*
LWOP,Auth(Explain) 0400 0400 0403*
LWOP,Unauth(Explain) 0401 0401 0404*
OTHER: 0219*
COMPENSATORYTIME 0284 0284 0500**
JURY
DUTY/SUBPOENAED
0288 0288 0210 0210**
OPTDAY 0289
ELECTEDOFFICIAL 0294 0294 0215**
MILITARYTRAINING 0296 0296 0217**
UNIONREPRESENTATIVE 0290 0290 0211**
UNIONOFFICIAL
BUSINESS
0291 0291 0212**
UNIONPOOLDAY 0292 0292 0213**
*Thesecodeswillinterfacefrom“legacy”toSAP,andcanalsobeusedon
the“ReportMiscellaneousPayrollTransactions”inputscreen.
**Thesecodeswillnot
interfacefrom“legacy”toSAP,andcanonlybeusedon
the“ReportMiscellaneousPayrollTransactions”inputscreen.
COMMENTS:_______________________________________________
__________________________________________________________
EMPLOYEENAME:__________________________________________
EMPLOYEESIGNATURE:______________________________________
__________________________________________________________
PRINCIPAL/ADMINISTRATORSIGNATURE
FM‐5949(01‐18)
Icertifythattheaboveinformationiscorrectandinaccordance
withtheSchoolBoardofMiami‐DadeCounty,Florida,policiesand
regulations.
THESCHOOLBOARDOFMIAMI‐DADECOUNTY,FLORIDA
APPLICATIONFORSHORTTERMLEAVE
Icertifythattheaboveinformationiscorrectandinaccordance
withtheSchoolBoardofMiami‐DadeCounty,Florida,policiesand
regulations.