VACATION CARRYOVER / ADVANCE REQUEST DATE: __________________________ DEPARTMENT: ______________________________ NAME: _________________________________________ BANNER ID: _________________________________________ POSITION HELD: _________________________________________ _________________________________ Application is made for the following carryover of vacation entitlement: PLEASE NOTE: HOURS CARRIED FORWARD AND ACCUMULATED SHOULD BE BASED ON BIWEEKLY HOURS NOT MODIFIED HOURS, FOR EXAMPLE, 5 DAYS = 35 HOURS NOT 37.5 HOURS. TYPE 1 - REGULAR CARRY OVER (Maximum 5 days) Number of Hours __________ TYPE 2 - ACCUMULATIVE VACATION (5 days per vacation year up to a maximum of 20 days) Number of Hours ___________ TYPE 3 - ADVANCE Number of Hours ___________ _________________________________ ___________________________________ EMPLOYEE’S SIGNATURE ________________________________ DATE ___________________________________ MANAGER/SUPERVISOR SIGNATURE ________________________________ DATE Employee is to complete this form by January 31, 2013 and submit to his/her Time Keeper. If you have any questions on your current quota or the carryover rules you should contact: Kerri Greene at kerri.greene@dal.ca, 896-2262 Amanda LeBlanc at amanda.leblanc@dal.ca, 893-2358 Lisa Devine at lisa.devine@dal.ca, 893-5350