APPENDIX 8B
Effective Date: 12/01/2003
Last Modified Date: 01/05/2004
Links Updated: 08/25/2004
Department Name: Name of Department for which employee works.
Date of Holiday Worked: Date of which Holiday worked falls. Indicate whether "Standard" or "Personal" holiday.
Account Number: The account to charged for the Holiday Premium Pay.
For the employee's Home Department: Fill out only the 4 digit function number.
For any department other than the employee's Home Department: Fill in the entire account number.
Rate of Pay: Rate of employee's pay at the time of the holiday worked.
NSDP: Number of hours actually worked on the holiday(s) that are not subject to Shift Differential Pay.
CSDP: Number of hours actually worked on the holiday(s) that are also subject to Shift Differential Pay.
For Payroll Use Only: Do not write in this space.
Approved by: The employee's supervisor signs this, certifying that the hours being reported were actually worked.