THE NEW YO R K CI T Y DE P A R T M E N T OF ED U C A T I O N
Division of Financial Operations, Office of Payroll Administration
REQUEST FOR LEAVE BALANCE CONVERSION OR TRANSFER OF CAR
District/School: Telephone #: __
FAX #: _________________________
Timekeeper/School Secretary: ____________________________________________________
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EMPLOYEE INFORMATION:
Name: __________________________________ EIS#: __________________________
Please select (circle) one of the following:
1. The above employee was terminated on the “B” pay cycle and is now serving in our school/district/BCO
as a ___________________________________ on the ___________ pay cycle: (P or S).
Please convert _______________ days and minutes to the hours/minutes format
and add to employee’s current CAR.
2. Please transfer the CAR balance for the above employee from the ‘P’ to the ‘S’ pay cycle.
3. Please transfer the CAR balance for the above employee from the ‘S’ to the ‘P’ pay cycle.
4. The above employee terminated on the HBANK payroll and is now serving in our School/District/BCO
as a _______________________________________. Please convert ____________ days,
________________ hours, and ________________ minutes of sick time to the proper format on the
____________ pay cycle. (B, P, or S)
Fax of forward this request to:
Bureau of Administrative/Support Payrolls
65 Court Street, Rm. 1003, Brooklyn, NY 11201
FAX: (718) 935-4093
Rev 1/22
