CALIFORNIA INSTITUTE OF TECHNOLOGY

Name:

Bi-Weekly Non-Exempt Time and Leave Report

Pay Period: -

Clare Chen
Assign: Time Worked Pay Code In Out In M E Out In Out Leave Code Dept:

Employee Badge: Scheduled Hours Day Mon Tue Wed Thu Fri Sat Sun 1st week total Date

EE00
Leave Taken Hours Taken Leave Code Hours Taken Daily Total Leave Codes
Bereavement Jury Duty LWOP Reg Personal Holiday Sick Employee Sick Family Vacation Witness

Abbr.
BR JD LWOP PH SE SF V W

07/15/13

11:20a

3:45p

07/16/13
07/17/13 07/18/13 07/19/13

12:00p

3:30p

4:05p

5:15p

10:00a
11:30a sick

3:00p
4:30p

A L

Requires Prior Approval from Leave Administration Leave Codes

FMLA Sick Emp FMLA Sick Fam FMLA Vac Emp FMLA Vac Fam FMLALWOP Emp FMLALWOP Fam LWOP SDI Maternity - LWOP Maternity - Sick Maternity - Vacation Military Pay Other Paid Leave Reg Disab LWOP Reg Disab Sick Reg Disab Vac

Abbr.
FSE FSF FVE FVF FE FF SDI ML MS MV MP OPL RDL RDS RDV

Mon Tue Wed Thu Fri Sat Sun

07/22/13

sick
sick

P E R I O D

07/23/13
07/24/13

sick
sick

07/25/13
07/26/13

Pay Codes

Abbr.
CB DT HO/W HrWg MUT OT SG SS TL

1:15p

4:00p

2nd week total 2 week Total

Call Back Double-time Holiday Worked Hourly Wage Make Up Time Overtime Shift Grave Shift Swing Temp Lead

Pay Code

Start

LABOR DISTRIBUTION End Project / Task / Award

Hrs

Date

NPR (Not Previously Reported/Paid) Code In Out Hours

Print Page Reset Form

Total Grand Total (2 week Total + NPR) Prior Periods Pay/Leave Code Change From: Code To: Code Hours

Date

Employee Signature
The foregoing percentages of Salaries & Wages have been reviewed and are reasonably consistent with work performed during the Bi-Weekly pay period.

Revision Revised 06/2006 10/2004 iPDF

Supervisor Signature