MonthlyEmployees’LeaveAdjustments
DepartmentName
ReportingMonth Year
Employee
ADPID#
Name
ExplanationofAdjustment
Beveryspecificregardingdates,numberofhours,and
typeofleave(sick,vacation,etc.)
Supervisor’sSignature
Date
Monthly employees are required to record their annual & sick leave
electronicallybythe20
th
ofeachmonth.Leaveafterthe20
th
shouldbe
projected.The Monthly Employees’ Leave Adjustments report is for
changes to projected leave as well as any other leave adjustments.
PleasesubmittoHRbythe firstFriday inthefollowingmonth, evenif
thereare noad
ustmentstore
ort.