State University of New York
College of Agriculture and Technology
Cobleskill, NY 12043
(Indicate Current Dates) (Indicate Dates)
ANNUAL LEAVE SICK LEAVE HOLIDAY LEAVE DRL
Payroll Office (After Supervisor's Approval)
I certify that this timesheet is correct.
(Specify Dates Worked)
not been absent during the month specified above. I have made the appropriate entries on my accrual record."
No Chargeable Absences (Please complete Record of Leave Accruals)
Chargeable Absences as follows:
PLEASE FORWARD TO PAYROLL OFFICE
Record of Attendance for Month of ________________________20 ______
(Holidays listed in Current Agreement)
This record of attendance and leave is required pursuant to the Agreement between the State of New York and UUP.
(To be submitted no later than the fifth day of each month)
Balance: Beginning of Month
Balance: End of Month
"Except for those absences noted above, charged to vacation, sick leave, or other approved leave, I certify that I have
(Refer to Art. 23 in Agreement
Time Used During Month