Local 60 Snow/Closed Day Form

PLEASE READ CAREFULLY:

All Horizon Elementary School Local 60 employees are required to complete this form to account for the November 21 (11:00 a.m. - end of contracted work time) and November 22 (full contracted day), 2011, Emergency Closed Days. Failure to submit a complete and accurate form by the specific deadline listed below may result in a reduction in pay on May 25, 2012. Please review the 2011-12 Local 60 Bargaining Agreement on "Snow Rules". It is also a good idea to talk with your building administrator as making up the time might not be an option.

Outlined below are your choices for the closed day and the payroll deadlines for submission:


	CHOICES	PAYROLL DEADLINE
1.	Report to your building and work	November 29, 2011
2.	Illness Day (Not a choice for Building & Grounds or employees on probation)	November 29, 2011
3.	261 day (for applicable employees)	November 29, 2011
4.	Vacation Day (for applicable employees)	November 29, 2011
5.	Personal Day (Not a choice for Building & Grounds or probationary employees)	November 29, 2011
6.	Reduction in Pay (Benefits will also be reduced)	November 29, 2011
7.	Make Up the Hours (Must be made up in a minimum of 1 hour increments)	May 15, 2012

SECTION 1 (IMPORTANT INFORMATION)

Please fill in the following information carefully and accurately:

First Name:

Middle Initial:

Last Name:

Building Code: (You may choose more than one)

Use your Ctrl & Shift keys to select multiples.

Job Title/Assignment:

Please indicate your contracted work hours per day (Ex: 3:00 p.m. - 11:00 p.m.):

Check the days of the week you are contracted to work:

	Monday			Tuesday
	Wednesday			Thursday
	Friday			Saturday

If the Snow/Weather/Closed day fell on a day you were not contracted to work, check the box below. Then, scroll to the end of the form, and click on "Submit".

Non-Work Day

SECTION 2 (CHOICES)

Please choose one of the seven items below to account for the Snow/Weather/Closed day, enter the amount, then click "Submit". If you are making up the time, you will continue on to Section 3:

1. I worked ___hours on the closed day.

2. I will use ___ hours of my vacation.

3. I will use ___ Personal Day.

1/2

3. I will use my:

261-day

4. I will use ___ illness hours.

5. Reduce my pay by ___ hours.

6. I have designated ___ snow hours in MyLearning Plan.

7. I am entering ___ hours in Section 3 below showing non-contracted work time.

SECTION 3 (MAKING UP THE TIME)

If you are choosing to make up the time, please use as many entries below as needed to submit non-contracted work hours (up to seven dates). Don't complete the form unless you have already made up the time. Keep track of your hours, then enter them all at once. Deadline for submission is May 15, 2011. Summer work hours can be used.

PLEASE DO NOT ENTER IN-DISTRICT OR OUT-OF-DISTRICT WORKSHOPS (TRACKED SEPARATELY).

Date of Make-up Activity (MM/DD/YYYY):

Duties performed:

Start Time (include am or pm):

End Time (include am or pm):