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Personal Day ELNA Buy Back Form
Handle: Document-97138
Owner: Carrell, Janea (User-136, 05492:EVERETT)DS
Monday, May 14, 2018 04:00:45 PM PDT
Friday, October 28, 2022 08:47:27 AM PDT
Modified By: Diaz, Ailienette (User-392, 08810:EVERETT)DS
Locked By:
  • May 2017
Personal Day Buy Back FormDue date: June 30FOR ELNA CLASSIFIED EMPLOYEESClassified employees who are members of the Everett Licensed Nurses’ Association (ELNA)Bargaining Unit may elect annually to buy back one (1) unused personal day.
  • I WOULD LIKE TO BUY BACK ONE DAY
MY ASSIGNED HOURS PER DAY ARE: _______________ *Leave not yet recorded will affect the final balance redeemed.
  • Employee’s Signature Employee ID# Date
Return this original form to Payroll by June 30 – copies or faxes will not be accepted.
  • Buy backs will be applied on the July payroll.
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
Personal Day ELNA Buy Back Form.pdf
No
4
139687
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Appears In: Payroll
Preferred Version: Personal Day ELNA Buy Back Form