b'Manage Employee Attendance, Time Off Streamline the Process for Managing and Schedules with Web-Based Apps Time Off Requests Routing: Human Resources $ 99 ComplyRight 2023 Time Off Request and Approval__________________________________Please Print__________________________________2023 Time Off Request and Approval Employee NameHillBarbara E 2 15 21//_________________________________________________________________________ Date ______________LastFirstMiddle4536CreativeA YEAR Employee/Payroll # _______________________________________Department ________________________________________Requesting time off has never been this easy!31413 //Employee Hire/Service Date_________________ Status: Full-time Part-timePER APP Employee InstructionsThe calendar format allows employees to clearlyComplete information above.Indicate reason(s) below.Make requests below by placing s in calendar days.Sign below and return to your supervisor for approval.request dates in the upcoming months and alsoLegal Public HolidayJanuary February Marchhighlights legal public holidays. Supervisors can seeSMTWTFS SMTWTFS SMTWTFS Ja1n uaKrwyanzaa 2022 ends 1234567123412341N rs Day891011121314567891011567891011126 New Yeeaarus Dthear Ky (ionbg Jserr. Dveady)Meaw Ythe bigger picture and confidently approve time off 15161718192021 12131415161718 12131415161718rtin Lxxx xx 2223xx262728 19202122232425 19202122232425Feb ruVaarleyntines D Daayy 2425140 Presidents2with a 12-month overview right at their fingertips.293031262728262728293031 M 2a2r chAsh Wednesday172 S2 Rta. Pmaadtarnic kbes DgianysApril May JuneSMTWTRouting:Human Resources TWTFS SMTWTFS AprilPalm Sunday FS SM2 2023 Time Off Request & Approval 1__ ___ _____ 1____ 2_____ ____ 4561235 Passover begins Two-part carbonless form, one copy for employee,Please Print 23456787_ __ 3 __ 1213456789107 G ya ____________________________ Eaosotde rF rSiu dnadn891011 1931 Paamssaodvaenr e endsdysanother for manager or HR department Employee Name9101112131415 14151617181920 111213141516172 RRouting:Human Resources______________________________________________________ Da / / M1a4y Mothers Dayte _____________2023 Time Off Request & Approval____________________________ 16171819202122 21222324252627 18192021222324 LastFirstMiddle23 ep 2 n 2829303129 Memorial DayPlease Print 30 24252627 ____________________________Employee/Payroll # ________________________________ D 28 a rtme 9t ____________________________2526272829 30 JuneEmployees mark their time-off requests byEmployee Hire/Service Date _ ____ /_ _______Status:Full-time Part-time September 18Fautnheetrese DntahyJuly ___/ August 19J/ /Employee Name ______________________________________________________Date _____________ LastFirst MiddleEmployee InstructionsSMTWTFS SMTWTFS SMTWTFS Ju 4l yindicating the requested dates of the yearComplete information above.Make requests below b y placin g s i n c alendar days 1 . 234512I ndependence DayEmployee/Payroll # ________________________________Depar 1 tment ____________________________ September/ /Employee Hire/Service Date ________________Status:Full-time Part-time Indicate reason(s) below. Sign below and return to your supervisor for approval.234567867 891011123456789 1 45 Loasbho r DHasahyanah beginsRctions 1 u WTMa T 516171112131415 January Employee Instru 9Febr 0ary 11121314rch 15 1314 1 1Legal Public Holiday 1819 10xxxxx 1617 Rosh Hashanah endsIncludes a ComplyRight guide to help you manage SMTWTF1 S 416S17T1819F2 1 S 1S 2 1M 22 WT 2 0FS 1Jan u K aw anzaa 2 a 02 2 end y 2s42526 1718192021222324 Yom Kippur beginsMry Complete information above.Make requests below by placing s in calendar days.123456752 71230 5 6712 1 32 1 22 23 er King Jr. Day 25 Yom Kippur ends891011121368 910489 04 2 Neeww Y Yeearrss D Daay (observed) October Indicate reason(s) below. Sign below and return to your supervisor for approval.11 16N th 151617181920 2123 1213142526172728132915 27 1728F 29 rtin Lu031242526272829309 C us Day34 Ma 3time off requests the right way222324252627 2 83 0 1920 1 211516241812201422162418 1e4b ruVaarleyntines Day31HoallulomwbeenLegal Public HolidayJanuary February 5March 789FS J a 1nu K N a w r e e a y w Ye a rt n i za a a 2 a r r u s D t 0 h 2 a e 2 e a y n i d n s b g J se r. D rve a d y ) SMTWTFSSMTWTFSSMTWT 22232519212325 2 Prsehs Wideednntess dDaayy November 293031 O 26 ober282627282930 N31ember Ma 0 cAh St December on Day 1234567 1234 12341 N w Ye s D r Kct 27ov 22r 8910 11 12 13 145678910 1116y (o610 11 2M n L SApril TWTFS S SMay TTT WFT S J u ne S TWTSFM212 TW y TFS SMTWTFS 170 Eleetcetriannss D Daayy (observed)MF 7Ra. 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P a a d t a ri n b cks D egi a n y sDescriptionItem #Price23456788 78 9 10 11 1 12 113 4514785910 193 7 P 8910113456789 91011121314 15149 1610 1 192131261415166 21Eaasssteorv eSr eundnadysApril May June2 p 2ril P P G E P R a a a a a o l s m s s o m S t s s a e o o d r S v v a u e e ri n r b u d d n a a n d e y n y g a d d y i s s ns15171820111317Ramadan ends SMTWTFSSMTWTFSSMTWTFS A 2161718192021 2 215211623171 82619 1 20192121 12 2313 M 1415161718 10111213141516De7c emHabneurkkah begins 2224 25 2782022241a4yMothers Day y 1 123456 1235d F7 203 31 57Me al Da 2345678 78910 11 12 1345678910 1 93m r eStandard 2-Part CarbonlessLD1-A0030$83.95 3 2425262728 2 92 22 8 29330 242526227 26 228 28291 93 0 20 29 2 1t mori 222324251718192021222315 Hhanriusktkmaahs D enadys 2 June Fa nheet 2 2 5C 910 11 12 13 14 1514 15 16 17 18 19 2011 12 13 14 15 16 17 21n e SJuly TWTFSS August TWTFSSSeptember WTFS19 28 rese 2930 31425262728293026 Kwanzaa beginsM 293031 MT 2627 1 8 Jun162 3 3 0 17 18 19 20 21 22 21 22 23 24 25 26 27 18 19 20 21 22 23 24M14ay Mo e t m h o e r r i s D a ay ayM July Dtahy24 25 26 27 28 29 28 29 30 31 25 26 27 28 29 3029 M l D11234512 Standard LD1-A0037$56.95 234567867891011 123456789 14 Independence DayJuly August September FS J1 J u u 8n ly e F J In a u t d n h e e e p t r e e s D e n n d t a e h y nce Day SMTWTFSSMTWTFSSMTWTS4 19te abboer Dr ayep Lm91011121314Reason for Request:_________________________________________________________________________________________161718192021151314 15161718 19101112131415 16175RoosshhHHaasshhaannaahhbeengdisns 1 12345 124 R22202122232425 26171819202122 23 24 Yom Kippur begins2 3 22 342 42 52 62 72 8 2 62 72 83 910 11 122 32 42 52 6789S O 2 e 4c 5 p t o te L R Yo C b m o a o o e a m K b s s l l r b u o o e r D r i i b p p e a a u p p e s s a h h n u u y a a r b n n a a a n e y h b g d i s n n e s g d i s ns330 2 2 34 1 25262728___________________________________________________________________________________________________________ rFill-and-Save*LD1-A0037CFL$27.95SOctober TWTF29 272829 r 3031 FS 242526272829 3025Yom Kippur ends 910 11 12 13 14 1513 14 15 1617 18 1910 11 12 13 14 15 16 1 17 R Yo h H r e h e5h HO9c toCboelumbus Day 16 17 18 19 20 21 2220 21 22 23 24 25 2617 18 19 20 21 22 23 2 4m KMComments: e_________________________________________________________________________________________________Novemb December31 Haloween031 56789 7890 31 4567 28 29 303123456S S M TW T34SMTWTFS N 7 o veEmlebcetrion Day712129m s D___________________________________________________________________________________________________________ 8October 11 12 13 145November 8910 113Decemb 5er2 311 H E V T l h e i e w t a t c e e e a n t r r l r k i w a i/ a o s n n n D g e iv e a a i p a y n y a y (o val a i b y served)Compact 2-Part CarbonlessLD1-A0045$60.95 8910111213 14 5678910 11 3456789 10 Veterans Day (observed) T SMTWTFSSMTWTFSSMTWTFS N 7ovemb s D 11 Veterans Dayavali151617181920 2112 13 141516 17 18 101112131415 16 123 Dhiwaanlki/sDgieveipng Day 1234567 671234 41210 Ve D s D g D 2Employe s S 2223 24171819202122 23Dece H mber //910678911D 222324252627 28 1920e 21ignature25 ________________________________________________________________ Date ________________2 7 Hanukkah begins 15 16 17 18 19 20 2112 13 14 15 16 17 1810 11 12 13 14 15 16D 2 2 e 3ce H C K m h w a a b r n n a e i u u n s r k k z t k k a m a a a h b e n g e a g d in y i s n s sPrice per pkg/50. Standard: 8" x 11", Compact: 5" x 8" 2930312627282930 2425 26272829 30155Chanriusktkmaahs D enadys Date ________________312 Kwanzaa begins // 22 23 24 25 26 27 2819 20 21 22 23 24 25172418 19 20 21 22 23 1 75H h eSupervisors Signature________________________________________________________________Prefer a web-based solution? Consider the Time & Attendance family of Smart Appschoose one or use all three. *Fill-and-Save form varies slightly from paper version. Authorized Approval 26Date ________________ 29 30 3126 27 28 29 3031 25 26 27 28 29 30 5a b s DReason for Request:______________________________________________________________ //________________________________________________________________6 Reason for Request:______________________________________________________________________________________________________________________________________________ ApprovedDenied Comments:__________________________________________________________________________________________________________________________________________________________Any information entered into Smart Apps is stored in a highly secure database where it is backed up andseamlessly integratedComments: ______________________________________________________________________ Comments:______________________________________________________________________________________________________________________________________________________ s not provide legal eo pfoinr iaonnysdoanm aangye ssp aercisifinicg f aocuttsoofrtsheer vuiscee s . Available with Fill-and-SaveThis producatt iiosn d eiss ipgrnoevdi dteod p wroitvhid teh ea cucnudraetres taanndd ianugt htohraitt aantiyv ep ienrfsoornm oart ieonnt.i tHy oinwveovlevre, ditiniscnroeta tai nsugb, pstriotudtuec fionrgleogr adli asdtrvibicuet ianngd t dhoise psr oodr uccotn icse nrnostlyioabul may have.Torh ein ianbfiolirtmy to use this product. You are urged to consult an attorney concerning your particular situation and any specific question________________________________________________________________________________with other Smart Apps so you never have to worry about duplication of data or effort. Best of all, Smart Appsare easy to use Employees Signature________________________________________________eDat h e e ______________ sImportant note: This is approved for usby t purcha //er only. This form may not be shared publicly or with third parties.Employees Signature________________________________________________ Date/ /Two easy ways to reorder: hrdirect.com800-999-9111______________Convenience Supervisors SignatureA0030_2023 2021 ComplyRight, Inc. / /________________________________________________ Date ______________/ /Supervisors Signature ________________________________________________ Date ______________ no installation or detailed instructions required. Authorized Approval________________________________________________/ // /Date ______________Authorized Approval________________________________________________ Date ______________ ApprovedDenied __________________________________________________________________ ApprovedDenied __________________________________________________________________This product is designed to provide acurate and authoritative information. However, it is not a substitute for legal advice and does not provide legal opinions This product is designed to provide accurate and authoritative information. However, it is not a substitute for legal advice anrdea dtionegs,nporto dpurocvinidge o lre gdaisl toripbiuntiionngs owith the understanding that any person or entity involved in creating, producing or distributing thisany specificnot liableser for any damages arising outprovidedmay have. to use this product. You are urged to consult an atorney concerning your onproduct isfacts or vices. The information isof the use or inability thni sa npryo sdpueccti fiiscnfaoct tlsi aobrl es efrovri acnesy.Tdahme aingfeosr aiornissi nor concern ide yuowmay have.matiognoisu tp orof vths edsu e iotrhitnhaeb uilnitdye tros tuasned tinhgistphraot dauncyt .p Yeoruso anr eo ru regnetdit yt oi ncvoonlsvuedltianncatorney concerning your particular situation and any specific quesbt y the purchaser only. This form may not be shared publicly or with third parties. Standardparticular situation and any specific questions or concerns you Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.Important note: This is approved for use A0045_20232021 ComplyRight, Inc. Two easy ways to reorder: hrdirect.com800-999-9111 CarbonlessA0045_2023 2021 ComplyRight, Inc. Two easy ways to reorder: hrdirect.com800-999-9111Request for Time Off CompactRequest for Time OffName ______________________________ Date ____________________Name ______________________________ Date ____________________Department __________________________ Status: Full timePart timeTime Off Request Schedule Publisher Department __________________________ Status: Full timePart time ComplyRightAttendance Calendar ID number ______________________ Hire/seniority date_______________ID number ______________________ Hire/seniority date_______________Smart App Smart App Supervisors name ______________________________________________ Request for Time OffSupervisors name ______________________________________________Smart App Title _______________________________________________________Title _______________________________________________________Requested date(s) off ____________________________________________Requested date(s) off ____________________________________________Simplify, automate and standardize thePlan and publish weekly schedules,Time of departure ______________________________________________ Manage time off requests to avoid conflicts and Track attendance, vacation andTime of departure ______________________________________________Time of return________________________________________________process of requesting and approving set employee availability and notifyTime of return________________________________________________ give employees a written record. Establish a fair and sick time using straightforwardReason for request ______________________________________________Reason for request ______________________________________________ time-off requests. View and filter requestsemployees of their shifts with online__________________________________________________________efficient process with documentation for reference.codes. Manage time banks and____________________________________________________________________________________________________________________to ensure proper staffing levels. convenience. Self-service portal allows__________________________________________________________add notes along the way. Signature ofof employee___________________________________________Signature employee___________________________________________employees to access their schedules. Time off: ApprovedDenied Two-part form provides copies for the employee Time off: ApprovedDeniedRequest approved/denied by: _______________________________________Request approved/denied by:_______________________________________ and managerTitle _______________________________________________________Title _______________________________________________________DescriptionItem #PriceReason for approval or or denial _______________________________________Reason for approval denial _________________________________________________________________________________________________Includes a ComplyRight guide to help youAttendance Calendar Smart AppLD1-SA200 $99 per year____________________________________________________________________________________________________________________ manage employee absences the right way__________________________________________________________Time Off Request Smart AppLD1-SA500$99 per yearFor office use onlyWeb Based For office use only Paid absence Unpaid absence Paid absence Unpaid absenceSchedule Publisher Smart AppLD1-SA800$99 per yearIf paid, deduct from:PersonalVacationSickOther Item #PriceIf paid, deduct from:Personal Vacation Sick Other Excused Unexcused Previous Occurrences YesNo LD1-A2203 $59.95 Excused Unexcused Previous OccurrencesYes No______________________________________ _________________________________________________________ ___________________SuperSupervisorvisors signatures signature Title A i rduImport g,t ipnrgo,d purcoindciencg vide acTitleedoes nt o toet n itt Price per pkg/50.T ct odisu cdte ioisosipg ndinnse eiosodinngntsoae no dpny r gusp or distributing this produc s tive innrs fmfonoorarmttm iloaiaanttiib oiolsennp.fiorsn ropyv a ridndoyvae imddd aeawmgdie ts arising out of the use or inabilityrn ets nyitiosySize: 5" x 8"prhoivsi Tpdphrreoo islvdei dgpuraedcl r l oeiengap aticnilr nea to on pidyroifpiaocercc fc idafuicirsctt asrft aioecb ratuting this pro ritative information. However, it is not a substitute for legal advicennoanodnrddoave ura ssnt oeedr ra av nsiuecdtreh avsou.i crTtehisthoa.e tdTuiihnsc eftn o iiot liable for a However, itwah gi siett nhhs ae ot rhtu iesaniunsduegnb drosseuttaritsnt tuoadtfne int dhfgoien t rgu h lseatehgtoaaatlnr aayindn pvyabe ipcrisleei ortasyto t uo sues te2202A201223 02C20o13m CpolmyRpight, Inc.lyRight, Inc. pnvoolvipnecrvdtoo. d ilYunvoce utao.natYetro :ne u Tou hatrergi:se eTiudshrtgaiospeidpcs ro atoonpv spceudrolotnfvsaoeunrdlt ua fatsotneor rbauntystee oty rbh necye o ptynh ucecr oecprnhuncariesncrehgnr a iynosoegnur l yryo.onpTulayrhr .i tpTsiac hrfuotislirac murfo sl ramimrt ua symaitt niuaoayont tniobaonnetd bas nhea dnas ryhae andsrpy ep edsucp bpiefucilicibcf lliqiyccuqloeysur ot ewirsoi twntihosinttohshr itocrhrod icrn dpca perrtaniretssi .yeos.u may have.oncerns you may have.hihsLearn more at hrdirect.com/smartapps Important n10 WORKPLACE MANAGEMENTATTENDANCE HRDIRECT.COM800.999.9111 11'