Absence Request Form s1

FLEX/ALTERNATIVE WORK SCHEDULE AGREEMENT

In accordance, with University Pol icy this document will serve as a written agreement between department heads and employees to work flex/alternative work schedules.

Policies:

Overtime Pay for Staff and Hourly Employees CWA 5.3, PA/SS 4.4, Hourly 4.2

Work Schedules, Hours, Uniforms CWA 5.1, Personnel Policies for Hourly Employees 4.1 Alternative Work Schedules Policy CWA 5.2, PA/SS 4.3

Work Hours for Professional Staff Not Eligible for Overtime PA/SS 4.2

Flex/Alternative Work Schedule Guidelines:

I. Alternative work schedules MUST NOT cause or contribute to the need for additional staff or overtime.

2. Break times are intended only to give employees a break during a block of working time combining break times in order to arrive late or leave early is a violation of university pol icy.

3. Changes in the work schedule require advance approval of the supervisor. An employee changing his/her schedule on his/her own is a violation of university policy. (including failing to take a lunch break or shortening a lunch break)

4. No alternative work schedule will be implemented/approved that results in an employee working less than the position's budgeted FTE.

5. Flex/Alternative work schedules MUST BE submitted to campus HR for approval.

6. Flex/Alternative work schedules must have a beginning and ending date and may be stopped early or extended beyond the end date at the supervisor’s discretion.

7. Employee must provide detailed justification with your request for flex/alternative schedule.

Please note: The decision to establish a flex/alternative work schedule is the sole discretion of the university. It is not required that alternative work schedules be uniformly available to all positions in a department or operating unit. Not every function is conducive to such alternative scheduling because of the requirements of operating units. Employees entering into Flex/Alterative work schedule agreements are still responsible for accurately recording hours worked in the Kuali TIME system and/or ePTO.

Flexible Work Form

Employee Name:
University ID#:
Position Title:
Department:
Supervisor Name:
Type of Flexible Work Arrangement:
Flexible Work / Compressed Work / Job Share / Telework
Type of Position
Clerical/SS / SM / TE / PA
Flexible Work: Start Date: / End Date:

DESCRIPTION OF SCHEDULE CHANGE

Work Schedule Lunch

Start / End / Start / End
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Absence Request Form s1

Flexible Work Form

Employee Signature

Date

Immediate Supervisor

Date

Dean/Department Head/Department Designee Approval

Date

Vice Chancellor/Executive Leadership

Date

Director of Human Resources

Date