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February 2026  ;75f6f x@ZRD3 A@@  b f=DayDate Hours WorkedVacationSickSunMonWedThuFriSat/Administrative Leave (includes campus closings) Injury LeaveMilitary LeaveUnpaid Leave of AbsenceWCWorkers CompensationEmployee SignatureHolidaySupervisor SignatureJury Duty or Civil LeaveOther Leave Hours TuesTue Department:Total Leave UsedADMHOLINJJRCVMILUNPL *Reason Code*Code Funeral Leave Description 2Comp Time will autocalculate; do not override the Total HrsFNLEmployee Name:&Employee Personnel Number (6 digits): Reporting Period (Month/Year):Comp Time UsedComp Time Earned WeekComp Time Earned Comp Earned'as effective and valid as the original.PBy submitting this form electronically, I recognize that it will be considered NS Not ScheduledFMLA@*Family Medical Leave (unpaid - available only with HR approval).formula or entries in Comp Time Earned column.- February 2026I*Note: Also mark vacation, sick or comp time to receive pay during FMLA.(Directions: 1. Record total hours worked each day, for ALL days listed 2. Record vacation, sick or comp time used in appropriate column 3. Record other leave hours and designate reason code (see below)R`4. Submit to supervisor for review/signature and return to HR by the 10th of the following monthCompensatory Time FLSA Non-Exempt Professional and Support Staff employees are eligible to earn compensatory time with supervisory approval at the rate of 1.5 for hours worked over forty (40) per week (Sunday - Saturday). The use of leave time (vacation, sick, holiday, comp time, admin, etc) is not considered hours worked and those hours are excluded from compensatory time calculations. For more information about compensatory time: Support Staff - reference Article 7 of the 2025-27 NAPE Agreement, Board Policy 5104 or Board Policy 5032. Professional Staff - reference Section 6.4 of the 2025-27 NSCPA Agreement, Board Policy 5103 or Board Policy 5032. S N If no paid leave is available, FMLA will be unpaid. 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