Fillable Original Absence Submitted (required when submitting a correction) (California State University, Los Angeles)

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Original Absence Submitted (required when submitting a correction) (California State University, Los Angeles)

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California State University, Los Angeles
Absence Correction Form (Form AM 634)
AM Form 634 Correction of Absence.doc
Name: _____________________________________________ Collective Bargaining Unit: ___
First MI Last
Empl. ID: ____________________ Department: _______________ Dept ID: _________
MONTH: ________________ YEAR:____________
Original Absence Submitted (required when submitting a correction) No Time Taken
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Corrected Submittal No Time Taken
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Codes to be used:
(S) Sick Leave — Self (BL) Sick Leave — Family Death / Bereavement Leave*
(SF) Sick Leave — Family* (FL) Funeral Leave*
(V) Vacation (T) CTO Taken
(PH) Personal Holiday (MP) Maternity / Paternity Leave
(JD) Jury Duty (ML) Military Leave**
(L) Informal Leave Granted (docked) (UL) Union Leave
(A) Absence without Official Leave Granted (AWOL – docked)
* Must provide family relationship on Comments line.
** Documentation of leave should be kept on file in employee’s department. Copy of Military orders must be submitted to
Payroll Services.
Comments: _______________________________________________________________________
_______________________________________________________________________
CERTIFICATION BY EMPLOYEE AND DEPARTMENT APPROVER:
To the best of my knowledge and belief, the facts stated are accurate and in full compliance with legal requirements.
____________________________________ ______ _____________________________ ______
Employee’s Signature Date Approver Date
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California State University, Los Angeles
Absence Correction Form (Form AM 634)
AM Form 634 Correction of Absence.doc
Instructions for using the Absence Correction Form
When an employee needs to correct an absence that cannot be submitted online through Absence Management, the
Absence Correction Form should be completed. The following situations warrant submission of this form:
a. the correction is more than 3 months old (absences that were never submitted and correction of a previously
submitted absence)
b. a current month absence was incorrectly submitted and approved by the department but not processed by
Payroll Services.
For example: time reported on 1/04/12 was submitted and approved as Vacation, but should have been submitted as
Sick –
Self. Since the time had already been approved, it needs to be corrected on-line by Payroll Services.
For Example
If submitting a correction to time previously entered into Absence Management, the employee and the employee’s
manager or department chair sign the form (same signatures as used on Attendance Form 634) and send a copy to
Payroll Services. The original should be retained in the department for seven years as a source document for audit
purposes.
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Original Absence Submitted (required when submitting a correction) (California State University, Los Angeles)

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Completed 22 July 2020

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