HUMAN RESOURCE SERVICES
85 South Prospect Street, Burlington, VT 05405
802.656.3150 · fax 802.656.3476
HRSInfo@uvm.edu · www.uvm.edu/hrs Equal Opportunity/Affirmative Action Employer
UVM Sick Time Deficit: If you exhaust all other paid leave options, UVM will allow you to borrow up to 10 days of sick
time (-80 hours max)against your future accruals if you are self-quarantining, exhibiting COVID-19 symptoms, or you are
unable to work or telework. If you go into a sick time deficit, you will not be able to use sick time until the deficit is paid
back. UVM reserves the right to recoup any remaining sick time deficit from the final paycheck of employees who
terminate before they regain a positive sick time balance.
I intend to use the sick time deficit.
Public Health Emergency Leave (PHEL): Must be employed at least 30 calendar days before you are eligible for this
leave. This leave allows up to 10 weeks of paid time, at 2/3 of regular base pay (up to $200 per day), to care for your
child whose school or place of care is closed due to COVID-19. PHEL may be used intermittently on a daily basis (e.g.
work Monday and Tuesday, use PHEL Wednesday through Friday). Note: Do not record hours on timesheet in less than
(no earlier than April 1, 2020)
(no later than December 31, 2020)
I intend to use PHEL intermittently (describe days PHEL will be used):
Completed by Supervisor (check applicable)
Unable to telework a flexible schedule
Unable to telework due to nature of position
Employed for at least 30 days (for PHEL requests)
Approved Intermittent Schedule, if applicable
If temp, average number of hours worked per week
Completed by Dean’s/Business Office
For Temporary Employees ONLY:
See COVID Leave Process Document for details on how to determine the following fields.
Regular rate: ________________ per hour___ or per week___ (check one)
Average hours per week: ___________________
Employee will run out of all exception time and need to be placed into an unpaid leave status until they
are able to return to work.