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EmployeeEmployee Number

By Dustin Gonzales,2014-02-07 02:30
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EmployeeEmployee NumberEmploy

    Alternative Work Schedule (AWS)

    Request and Plan

    Employee: _______________________________________ Employee Number: __________________________ Supervisor: ____________________________________ School/Dept.: ______________________ Date: __________

Employee’s Current Work Schedule:

    Schedule Mon Tue Wed Thu Fri Sat Sun Total Hours Arrival Time Departure Time Meal Length Total Work Hours per day

Start Date of Alternate Work Schedule (beginning date of a pay period): ____________________________

    End Date of Alternative Work Schedule (end date of a pay period): _____________________________

Alternative Work Schedules (please complete requested schedule):

Flextime Schedule: Exempt and Non-exempt employees

    Schedule Mon Tue Wed Thu Fri Sat Sun Total Hours Arrival Time Departure Time Meal Length Total Work Hours per day

    Compressed Schedule: Exempt and non-exempt employees (indicate work day off or reduced hours) Schedule Mon Tue Wed Thu Fri Sat Sun Total Hours Arrival Time Departure Time Meal Length Total Work Hours per day

Compressed: Exempt employees only

    Schedule Mon Tue Wed Thu Fri Sat Sun Total Hours 9-hour days Week 1 Arrival Time Departure Time Meal Length 9-hour days Week 2 Arrival Time Departure Time Meal Break 8-hour day (check week) Week 1: ______

    Week 2: ______

    (indicate day and hours)

    Scheduled Day Off (check week)

    Week 1: ______

    Week 2: ______

    (indicate day and hours)

    Total Hours Must Equal 80.0

    AWS Plan 1

    Rotational of Fixed Shift Schedule (Exempt and Non-exempt employees):

Please check one: Rotating Shift ________ Fixed Shift ________

    If a Rotating Shift, indicate both work schedules and start dates/end dates of rotation: _________________________________

    _______________________________________________________________________________________________________

Schedule Mon Tue Wed Thu Fri Sat Sun Total Hours

    Arrival Time

    Departure Time

    Meal Length

    Total Work Hours Per Day

Schedule Mon Tue Wed Thu Fri Sat Sun Total Hours

    Arrival Time

    Departure Time

    Meal Length

    Total Work Hours Per Day

Employee Understanding:

    I understand that an alternative work schedule is a privilege and intended to benefit both the employee and the department.

    I further understand that my supervisor may modify or terminate the alternative work schedule based on my performance

    and/or for business, emergency, or any other appropriate reasons.

    I agree to adhere to the new alternative work schedule.

    I also understand if I work a schedule of greater than 8-hour days, I will receive only 8 hours credit for observing a holiday or 8

    hours of compensatory special leave if I work the holiday or it occurs on my day off. If I initiated the alternative work schedule, I may cancel the alternative work schedule by providing advance notice to my

    supervisor. Upon cancellation, I will return to my former work schedule on the first day of next new pay period.

    If I am a non-exempt employee, I must accurately record all hours worked in a day which is consistent with federal law. Overtime

    must be pre-approved by my supervisor.

Approvals:

________________________________________________________ _____ ____________________

    Employee Signature Date

________________________________________________________ ___________________________________

    Supervisor Signature Date

________________________________________________________ ___________________________________

    Department Head Signature Date

    A copy of the Alternative Work Schedule is to be retained by the Department/Unit.

    The department/unit HRMS Specialist must update the employee’s Assignment Descriptive Flexfield in HRMS by indicating the type of Alternative Work Schedule (e.g. Compressed Schedule, Flextime, Rotational or Fixed Shift).

    AWS Plan 2

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