b'Manage Employee Attendance, Time Off Streamline the Process for Managing and Schedules with Web-Based Apps Time Off Requests Routing: Human Resources $ 90 ComplyRight 2023 Time Off Request and Approval__________________________________Please Print__________________________________2023 Time Off Request and Approval Employee NameHillBarbara E 2 15 21//_________________________________________________________________________ Date ______________LastFirstMiddleEmployee/Payroll # 4536 CreativeA YEAR_______________________________________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 clearly Complete information above. Indicate reason(s) below.request dates in the upcoming months and alsoMake requests below by placing s in calendar days. Sign below and return to your supervisor for approval.January February MarchLegal Public Holidayhighlights legal public holidays. Supervisors can seeSMTWTFS SMTWTFS SMTWTFS Ja1n uaKrwyanzaa 2022 ends1234567123412341 New Years Day891011121314567891011567891011126 Neaw Yrtin Learus Dthear Ky (ionbg Jserr. Dveady)the bigger picture and confidently approve time off 15161718192021 12131415161718 12131415161718Mxxx xx February 2223xx262728 19202122232425 19202122232425140 V24252 Parelesnidtiennetss D Daayywith a 12-month overview right at their fingertips.293031262728262728293031 M 2a2r chAsh Wednesday2 Rta. Pmaadtarnic kbes Dginays172 SApril May JuneSMTWTFS SMTWTFS SMTWTFS Ap2 rilPalm SundayRouting:Human Resources2023 Time Off Request & Approval _ 23 __ 7 G asosdo vFerird baeygins Two-part carbonless form, one copy for employee,Please Print 2345671__________ 1 ______ _____ ____ 4 _ 5645671235Po ___________________________878 9 10 11 121389109 Easter Sunday13 Passover endsanother for manager or HR department Employee Name9101112131415 14151617181920 1112131415161721 Ramadan endsRouting:Human Resources______________________________________________________ Da / / Mayte _____________2023 Time Off Request & Approval____________________________ 16171819202122 21222324252627 18192021222324 LastFirstD 28 a rtme 9tMiddle 2930312526272829 30 149 Moemthoerrisa Dl Dayay230 24252627282 MPlease Print____________________________Employee/Payroll # ________________________________ ep 2 n ____________________________ June3Employees mark their time-off requests byEmployee Hire/Service Date _____ /_ _______Status:Full-time Part-time September 18Fathetrese DntahyJuly ___/ August 19JuneEmployee Name ______________________________________________________Date/ /_____________LastFirst MiddleEmployee InstructionsSMTWTFS SMTWTFS SMTWTFS Ju4l yindicating the requested dates of the yearComplete information above. 11234512Independence Day Employee/Payroll # ________________________________Department ____________________________Make requests below by placing s in calendar days. September/ /Employee Hire/Service Date ________________Status:Full-time Part-time Indicate reason(s) below. Sign below and return to your supervisor for approval. L2345678678910111234567891 45Raobsho r DHaashyanah beginsctions 10 Ma 516171112131415 January Employee Instru 9Febru ary 11121314rch 15 13141 1Legal Public Holiday 1819 10xxxxx 1617 Rosh Hashanah endsIncludes a ComplyRight guide to help you manageSMTWTFS16SM TWTFSS 21MTWT20FS Januaryanzaa 202 2 end2s42526 17181920212223245 Yom Kippur begins Complete information above.Make requests below by placing s in calendar days.12345671718193202212321122 23 2 Yom Kippur endsKw1244s Day Indicate reason(s) below. Sign below and return to your supervisor for approval. 8910111213 14 23 52 4 78910 11 5678910 11 1New Yeeaarrus Dy (ionbserr. Dveady) October626 Neaw Y thear Kg J 151617181920 21 30121331142526172728132915 27 1728 2 2 9 rtin L 3124252627282930 9 Columbus DayM 30time off requests the right way222324252627 28 1920211516241812201422162418F1e4b rVPraelesnidtiennetss D Daayy 31 HalloweenFebruary 5March 78910 11Janu L K N a e w r e e a g y a r a t n li za P a a u r r u b t 0 l h 2 i a e ca y H n o i d n l s b i s d e a r y ve a d y )January FS 1w Ye a 2 s D 2 e g Jr. Duary SMTWTFSSMTWTFSSMTWT 22232519212325Ash Wednesday em 293031 O 26 obe r282627282930 November 2a 0 ch St ginays December170Elebcetrion Day 1234567 1234612341Nw Ye s D r Kct 27 31 M 2r 8910 11 12 13 145678910 11116Ra. 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P a a d t a ri n b cks D egi a n y sDescriptionItem #Price 158 1610 1192 11 615 09 P osotde r Sund ndd9 17182017131Raa 8 April May June2 p 2ril P P G E P 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 ns SMTWTFS 15 SMTWTFSSMTWTFS A 2r en 1621718192021 2 215 2 122 6 23172 18261 2 92 20192 2 12129 1 2 2313 2 4 1 4thoerris 15y 161718 10111213141516De7c eHmabneurkkah begins1 24 5718202224May M n e 15 Hanukkah ends 1 123456 1235d F7l aDya303 31 57 19Moem a D 2345678 78910 11 12 1345678910 1 91 Rm r eStandard 2-Part CarbonlessLD1-A0030$83.95 2425262728 2 S922 2S 8293 s t 30 2425F2627 26 28 28 T193 0 20Ju8 J 2 1 J at nheetrese 22232425 171819202122232 C wrainsztmaaa bs Degainys 2 ne 910 11 12 13 14 1514 15 16 17 18 19 2011 12 13 14 15 16 17 2 3n e SJuly TW TFAugu TW TS SSeptember WFS1 u 9Fu 2930 2 1 252627282930265 KhM 293031 MT 26271 28Dahy 34162 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 nt24 25 26 27 28 29 28 29 30 31 25 26 27 28 29 3029 M l D112345124l yStandard LD1-A0037$56.95 2345678 67891011 123456789S1 e 4pIndependence 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 DayteLambboer Dr ay SMTWTFSSMTWTFSSMTWT19 91011121314Reason for Request:_________________________________________________________________________________________151314 15161718 19101112131415 16175R 161718192021 22 202122232425 26 171819202122 23 24RoosshhHHaasshhaannaahhebendgisns 1 12345 124 2 3 22 342 42 52 62 72 82 62 72 82 910 11 12 2 32 42 52 62 72 82 9S1 2 e 4c 5 p t o te L R R Yo C b m o a o o e a b s s l l r b u h H o o er i i b p p e a a u p p e s s a h h n u u y a a r e n n a a a n e y h b g d i s n n e s g d i s nsYom Kippur begins330 2 214 3 25262728___________________________________________________________________________________________________________Fill-and-Save*LD1-A0037CFL$27.95SOctober TWTF29 272829 r 3031 FS 242526272829 302c5t oYboem Kr ippur ends5r D 910 11 12 13 14 1513 14 15 1617 18 1910 11 12 13 14 15 1617h H r b h eO 16 17 18 190 2120 2123 24 25 26 17 18 190 21232 4Yo m KNovemb December391 Coallluomwbeuens DayMComments: e_________________________________________________________________________________________________H0m K331 56 278 29 278 29 30 31 456 278 29 30 O 9H m w s D 123456S S M TW T34SMTWTFS N 7 o veEmlebcetrion Day71212 ___________________________________________________________________________________________________________October November December2 311 Ve V Th e iw t a t e e e a n t r r l r k i 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 10Veterans Day (observed) y y SMTWTFSSMTWTFSSMTWTFS N7ove E m le b c s D 1234567 1234 12 110D s D112151617181920 21121314151617 18101112131415 16 23Veiwtearlai/nDg seDeapnagv aDlaiThanksivi 293031 8p y 7122 23 24173 1819202122 23D7e ceHmabneurkkah begdisns // 8910 11 12 13 145678910 11345678911D D g D 222324252627 2 Em19 lo 20 e e 2 s Sig natur e25 ________________________________________________________________ Date ________________2155C 15 16 17 18 19 20 2112 13 14 15 16 17 1810 11 12 13 14 15 16D e 3ce H m 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"262 28 2930 214 25 26272829 302 Hharniusktkmaahs D enay Date ________________Supervisors Signature________________________________________________________________ // 22 23 24 25 26 27 2819 20 21 22 23 24 25172418 19 20 21 22 23 12 75 H C K h w h ePrefer a web-based solution? Consider the Time & Attendance family of Smart Appschoose one or use*Fill-and-Save form varies slightly from paper version. Authorized Approval 26 Kwanzaa begins Date ________________ 29 30 3126 27 28 29 3031 25 26 27 28 29 30 25a b s DReason for Request:______________________________________________________________ //________________________________________________________________6 Reason for Request:______________________________________________________________________________________________________________________________________________ ApprovedDenied Comments:__________________________________________________________________________________________________________________________________________________________Comments: ______________________________________________________________________ all three. Any information entered into Smart Apps is stored in a highly secure database where it is backedAvailable with Fill-and-Save________________________________________________________________________________ in iaonnysdoanm aangye ssp aerciisfiincg f aocuttsoofr t sheer vuiscee s . Comments:______________________________________________________________________This pnrfoodrmucaoti ounse this product. You are urged to consult an attorney concerning your particular situation and any specific questions or concerns you mTrh ien iability t t is d eiss ipgrnoevdi dtoed p wroitvhid teh ae cucnudraetres taanndd ianugt htohraitt aantiyv ep ienrfsoornm oart ieonnt.i tHy oinwveovlevre,d it i inscnroeta ati nsugb, pstriotudtuec fionrgloegr adl iasdtrvibicuet ianngd t dhiose ps rnoodtu pcrt oivs indoe tl leigaabll eo pfaoyr have.________________________________________________________________________________oImportant note: This is approved for use by the purch a seonly. This form may not be shared publicly or with third parties./ /Employees Signature________________________________________________ Date ______________ rEmployees Signature________________________________________________ / /Two easy ways to reorder: hrdire ctD.cate om______________800-999-9111up andseamlessly integrated with other Smart Apps so you never have to worry about duplication of dataConvenience Supervisors SignatureA0030_2023 2021 ComplyRight, Inc. / /________________________________________________ Date ______________/ /Supervisors Signature ________________________________________________ Date ______________Authorized Approval________________________________________________ / // /Date ______________Authorized Approval________________________________________________ Date ______________ ApprovedDenied __________________________________________________________________ ApprovedDenied __________________________________________________________________or effort. Best of all, Smart Apps are easy to useno installation or detailed instructions required. This pr ospdeuccitf iicsfdaecstsig onre sde trov ipcreos.v iTdhee a icncfuorramtea atinodnaisu tphroorviitdaetidv ew iinthitnhaeb uilnitdy etros tuasned tihnigstphraot dauncyt .p Yeorsuo anre urged to consult an at o orney concerning your and does not provide legal opinions This productisis designed to provide acurate and authoritativewith the understanding that any person or entitylegal advicecreating, producing or distributing thisany specific facts or services. The information is providedinformation. However, it is not a substitute fortoinvolved inatorney concerning your formation. However, it is not a substi tour teen ftoirty le ingavlo alvdevdic ienacnrdea dtionegs,nporto pdruocivnidge o lre gdaisl toripbiuntiionngsonproduct not liableany specific questions or concernsuse or inability to use this product. You are urged consult an thni sa npryoldaru cstit uisa ntiootn l aianbdle a fnoyrsapneyc idfaicm qaugeesst iaornissi nogrocuont coefr tnhseyuosuemoray have.particu te: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties. Standardparticular situation andfor any damages arising out of theyou may have.Important no Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.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 timeDepartment __________________________ Status: Full timePart timeID number ______________________ Hire/seniority date_______________ ComplyRightID number ______________________ Hire/seniority date_______________Supervisors name ______________________________________________ Request for Time OffSupervisors name ______________________________________________Time Off Request Schedule Publisher Title _______________________________________________________Attendance Calendar Title _______________________________________________________Requested date(s) off ____________________________________________Requested date(s) off ____________________________________________Smart App Smart App Time of departure ______________________________________________ Manage time off requests to avoid conflicts and Smart App Time of departure ______________________________________________Time of return________________________________________________Time of return________________________________________________ give employees a written record. Establish a fair and Simplify, automate and standardize thePlan and publish weekly schedules,Reason for request ______________________________________________Track attendance, vacation andReason for request ________________________________________________________________________________________________________ efficient process with documentation for reference.__________________________________________________________process of requesting and approving set employee availability and notify__________________________________________________________sick time using straightforward__________________________________________________________Signature of employee___________________________________________time-off requests. View and filter requestsemployees of their shifts with onlineSignature of employee___________________________________________codes. Manage time banks andTime off: ApprovedDenied Two-part form provides copies for the employee Time off: ApprovedDenied to ensure proper staffing levels. convenience. Self-service portal allowsRequest approved/denied by: _______________________________________add notes along the way. Request approved/denied by:_______________________________________ and manageremployees to access their schedules. Title _______________________________________________________Title _______________________________________________________Reason for approval or or denial _______________________________________Reason for approval denial _________________________________________________________________________________________________Includes a ComplyRight guide to help you__________________________________________________________DescriptionItem #____________________________________________________________________________________________________________________ manage employee absences the right wayAttendance Calendar Smart AppLD1-SA200For office use onlyFor office use only Paid absence Unpaid absence Paid absence Unpaid absenceIf paid, deduct from:Personal Vacation Sick Other Item #PriceTime Off Request Smart AppLD1-SA500 If paid, deduct from:PersonalVacationSickOtherWeb BasedExcused Unexcused Previous OccurrencesYes No Excused Unexcused Previous Occurrences YesNo LD1-A2203 $59.95Schedule Publisher Smart AppLD1-SA800 ______________________________________ _________________________________________________________ ___________________SuperSupervisorvisors signatures signature TitleTitle2021 ComyRpilgyhRtig, Ihntc, .Inc. pr Important note: This is approved fo p rt u g n tednrra gn t rhvoicreitsa.d tTiuveeft o i iinsnr fmfonoarormmttbi loliaenat b ifiolosne r pfaiorsno rpyv a rinddoyvaemages arising out of the use or inability to use thisw ne Price per pkg/50.prhoisv iTpdprrheooiT v sid draas tsioethis asued authoritative infoartmioant.i oHno. Hwoevid eamg s not a substdaitn ietnd hfgioen r tgu hl staeehtgaaaotlrnaa yindn pyavibe pcrieseli e andoo does Size: 5" x 8" urceo tl deisug dcatleosisipg dinneesioding tnsoeodpn rt ooavn pyidr soep vaeidccceifu iacrc acftauecn v it cphroduct is not lia dee,v dei r, it nhio eattr hui esan i dunsungerbd osseuttraitstn tuof tute for legal advic rotasnyont nrdod uerose thiseiss.pTrhoe ihnc d rwittwahii sett hsetsni ttnyi t ony t o t legal opinions on any specific faincib stuatstrtt iioobrney concerning your particular situation and any specific questions or concerns you may have.A2202A20123 2C0o3mpl invoodlupivnrcevotdo.dilYuvnoec utdc. raYeirnaoet ui cnu raegrrag,e tep iundrg rotg,do epu dcrc ootinnod sugcuc oolintnrasgdun iol start t ardteorurbnyse ety hb ceyotpnhucer ecprhnuarinscehgraysooenrul ryo . npTlayhr.it Tsic hfuoislra mrfosrmimtua ymat niaoyon tnabonetdsb haena sryhe adsrp epeduc ipbfluiiccb llqyiuc oleyrsotwiro intwhsittohhr t ihcrodirn pdca eprratniretss i.yeos.u may have.Learn more at hrdirect.com/smartapps Important note: This is approved for us12 WORKPLACE MANAGEMENTATTENDANCE HRDIRECT.COM800.999.9111 13'