Fillable Vacation Extension Employee Request for Vacation Extension Form | NSU

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Vacation Extension Employee Request for Vacation Extension Form | NSU

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REQUEST FOR VACATION EXTENSION
Employee Signature Date
REQUIRED APPROVALS: NOTE: Forward form to Office of Human Resources after final center approval.
Immediate Supervisor (Print Name) Immediate Supervisor (Signature) Date
Dean/VP/Department Head (Print Name) Dean/VP/Department Head (Signature) Date
Frederick
Lippman, Chancellor
(Approval required for all HPD requests ) Signature Date
=======================Area below for Office of Human Resources use only========================
Accrual
(Hire Date)
July 1 Advance Full-Time
Part-Time
Previous
Extension
Dates:
Shared Services (Print Name) Signature
Date
Executive Director, OHR (Print Name)
Approved Not Approved
Signature
Date
Dr. Harry K Moon
Signature
Date
Revised 08.29.2018
Today's Date:
NSU ID:
Telephone:
Employee:
Center:
Email:
# Hours * requested for extension:
Extend Through Date:
* Do not include automatic one-week carryover in this figure.
Date by which extended hours will be used. Extensions must be used
within six (6) months from anniversary date, or July 1, whichever is
applicable.
Please refer to the vacation extension policy on the following page.
REASON FOR REQUEST (Required):
Select a reason from the drop down box and add comments below:
Strategic Business Partner (Print Name)
Signature
Date
Executive Vice President/Chief Operating Officer
Print Form
- SELECT CENTER -
-SELECT -
Excerpted from the Vacation Leave Policy, updated on April 12, 2012:
Vacation Extension Requests
Each employee and their supervisor has the responsibility to manage vacation leave time in order to minimize the need to
carry over earned, unused vacation. Supervisors should be mindful of an employee’s need for time off from work and
encourage those employees with unused vacation leave to schedule time off before the applicable cut-off date (July 1 or
employee’s anniversary date).
Eligible employees automatically receive a carry-over of up to one week of unused vacation as described in the Vacation
Leave policy. If vacation time-off requests cannot be approved due to operational needs or other business reasons, the
employee may request to extend the use of vacation time-off into the subsequent year (after anniversary date or July 1,
whichever is applicable). Extensions must be utilized within six (6) months from anniversary date or July 1, whichever is
applicable. An employee shall submit a request for an extension on the Vacation Extension Request form available on
the NSU Web site under Human Resources/OHR Forms.
The employee’s request must include an explanation of the operational need or other business reason for not using
vacation during the regular utilization period. The Dean or Center/Department Head, in consultation with the employee’s
supervisor, must review the business justification and ensure that the vacation extension request will not negatively
impact College/Center/Department operations, if approved by the University’s Executive Vice President and Chief
Operating Officer. The request shall be submitted to the Office of Human Resources for review and then forwarded to the
Executive Vice President and Chief Operating Officer for final review and approval.
Vacation extension requests for personal reasons (i.e. requests not involving a business justification) normally will not be
approved but will be reviewed on a case-by-case basis by the Office of Human Resources and the Executive Vice
President and Chief Operating Officer for final determination after the College/Center/Department certifies that the
approval of the request will not negatively impact its operations.
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Vacation Extension Employee Request for Vacation Extension Form NSU

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Completed 16 November 2019

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