DATE(S) HOURS ABSENT TOTAL TOTAL DAYS (From To) HOURS (hours divided by 8) – EXAMPLE 1: 5/23/14 5/28/14 8:00 a.m. 4:30 p.m. 24 3 – – (Subject to supervisory (Only 3 days were included as the approval) law allows the Memorial Day holiday to be paid if it is a normally scheduled workday. One could also list 4 days if they wish to volunteer the Memorial Day holiday.) EXAMPLE 2: TBD 4/1/14 6/30/14 TBD 24 3 – – (Time to be scheduled at a later date with approval of your supervisor.) I wish to accrue service credit and credited salary in the state retirement plan as if I were being paid my normal salary during this period. I understand I will need to pay the employee contribution to receive the employer contribution after the leave is completed.  YES NO I am a member of an employment unit that allows the impact of LWOP on pay to be spread over the entire fiscal year and wish to do so.   YES NO N/A
DATE(S) HOURS ABSENT (From – To) TOTAL HOURS TOTAL DAYS (hours divided by 8) EXAMPLE 1: 5/23/14 – 5/28/14 (Subject to supervisory approval) 8:00 a.m. – 4:30 p.m. 24 3 (Only 3 days were included as the law allows the Memorial Day holiday to be paid if it is a normally scheduled workday. One could also list 4 days if they wish to volunteer the Memorial Day holiday.) EXAMPLE 2: TBD – 4/1/14 – 6/30/14 TBD 24 3 (Time to be scheduled at a later date with approval of your supervisor.) I wish to accrue service credit and credited salary in the state retirement plan as if I were being paid my normal salary during this period. I understand I will need to pay the employee contribution to receive the employer contribution after the leave is completed. YES  NO I am a member of an employment unit that allows the impact of LWOP on pay to be spread over the entire fiscal year and wish to do so. YES  NO  N/A
Voluntary%20LWOP%20Letter%20to%20Employees%20dec%202017.docx