ࡱ> AC@` Lbjbj ' Bttttttt8H To!|||||  $!#h%!t"!tt||)!dt|t|  htt |p WU+gd ?!0o!%&%& %&t ,"AYm!!Xo!$ d tttttt  Summary Record of Absence/Tardiness Employee Name: _______________________________ Date: _____________________ Department: ____________________________________ Empl ID: __________________ In reviewing an employees overall attendance record, occurrences where the absence or tardiness was unscheduled or not pre-approved by the supervisor will be used in identifying attendance problems. The following is a summary record of absence and/or tardiness: Unexcused or Unplanned Absence Date(s) of Occurrence: ___________ Unexcused or Unplanned Tardiness Date(s) of Occurrence: ___________ Excused or Planned Absence Date(s) of Occurrence: ___________ Excused or Planned Tardiness Date(s) of Occurrence: ___________ _______ Number of unexcused/unplanned occurrences in the past __________month(s). Details (attach any related documentation): __________________________________________ _____________________________________________________________________________ Employee Statement: ___________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Please be advised that future incidents of unexcused/unplanned absence and/or tardiness could invoke strict application of the Sick Leave Policy as well as further progressive disciplinary steps that could result in more severe disciplinary action, up to and including termination. You are hereby notified that the State of Maryland provides confidential services to help State employees who face personal matters that may adversely affect their lives and job performance. The toll free telephone number for the Employee Assistance Program (EAP) is 1-800-411-5123. ___________________________ ____________________________ Supervisors Signature/Date Employees Signature/Date NOTE: Employees signature does not constitute agreement with supervisors statement, only that the employee has been notified. cc: Personnel file (Human Resources)     Summary Record of Absence-Tardiness Revised 02/2006 &agjk N O " %GH    IJKLΧΧΧΟhcchA$hA$CJaJhtjhtU hHKCJ$hHKhccCJOJPJQJ^JaJhHKCJOJPJQJ^J hccCJhHK5CJ\hcc5CJ\ hccCJ hHKCJ jhHKUmHnHu-&r O " y udh[$\$^ugdHK h^h` & F hp` & F ` & F |`u[$\$^ugdHK|`||^|$[$\$^a$gdHK  K  g )bc   |^|[$\$udh[$\$^ugdHK |[$\$^|h &d P [$\$^h` gdHK9IJKL ,1h/ =!"#$8% nL kӐWF㫅W_9RAq?h4? _}846/zu?E~DW0ӊLhhy?&*?M}?,A;PhԠ$Sb\gXk٧Ѱ±2#p"+a$4yiƾxq.ןT65+lw)Y>∳ҮC7ȳ*^ڰ1Ț< Ï&Djb-[T ]#%?yQgz7i&jt{ p r^@ mTkrn~4WY dR6jH;df Po O3M2Z٪%DSZуLPrud}-Mv:ƃvݖt:sfmQ9yzly 8wɉ9@x1Hy) H>yrhGRHtO&>rgBʈGՀ'se)Ҫ=B.쭠 {wpdXj]tE_ȞxC]$]l5_B$ H"g u ^&vS@g|Ċ掚$gUCLνT`L<|Jff"M6=NZM` F`>=± ur?-z ڛ9Y r!#۵vy1kIk很9M/(b$䦂;+y{TN8r~Glc]9N(TUf';OAIA&[ѢW| 7b_[ͰZ'|3&;;dKwț=T8.9=sIOeSeCX]5ԯWPd#Ga -*RC+YYy53'B 6񞖪)9b{2!I ]G;ƌfY.$Q"{Д"ZUk[ɥB d0[gRM/7+60J-ˏ B؊~)2v\#E1=ƉfL P iʏcp&A/C9KoȍoEfC(S,>*C-4|YVȀC.C:b\VhCt,D. \Te(=6T0bKFAhƎe]:1=@U+3՜.+,0 hp  Salisbury University Absence/Tardy Notice Title  !"#$%&'()*+,-./12345679:;<=>?BRoot Entry FZU+DData 1TableE&WordDocument'SummaryInformation(0DocumentSummaryInformation88CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q