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Attendance Tracking Tools                                                                                                                                                                             Attendance Tracking Tools





                                                                                                                                                                           ■  Human Resources   Human Resources
                                                                                                                                                                           ■
           Name: _______________________________________________________________    Employee #:  ______________________________________                                Routing:      Routing: Routing: ■  Human Resources
                                                                                                                                                                           ■ __________________________________
                                                                                                                                                                        ■ __________________________________
                                                                                                                                                                           ■ __________________________________
                            Additional
              Date   Notes     Paid     Unpaid    Hours Worked  Quarterly Absence Totals  Bestseller                                                 2020 T 2020 Time Off Request and Approval2020 Time Off Request and Approvalime Off Request and Approval          ■ __________________________________  Absence Report
                                                                                                                                                                           ■ __________________________________
                                                                                                                                                                           ■ __________________________________

            /   /               Reason/    1 st    2 nd    3 rd    4 th    Year Total                                                                Please Print  Please PrintPlease Print             Please Print
                                 Code
                                                                                           ™
            /   /          Attendance Calendar™                Attendance Calendar  Cards                                                            Employee N Employee Name  _________________________________________________________________________  Date ______________
                                                                                                                                                                                /      /
                                                                                                                                                                                  /      //      /
                                                                                                                                                       Employee Name  _________________________________________________________________________  Date ______________ame  _________________________________________________________________________  Date ______________
            /   /                                                                                                                                    Employee Employee/Payroll # _______________________________________ Department  ________________________________________/Payroll # _______________________________________ Department  ________________________________________  Routing:   ■ Human Resources
                                                                                                                                                                             MiddleMiddle
                                                                                                                                                                  First
                                                                                                                                                                     First First
                                                                                                                                                                          Middle
                                                                                                                                                              Last
                                                                                                                                                             Last Last

                                                                                                                                                       Employee/Payroll # _______________________________________ Department  ________________________________________
            /   /          A – Additional Hours  J  – Jury Duty  T  – Tardy  Name: ______________________________________________________                                                                  ■ __________________________________________
                           Absence Codes
                                                                                                                                                             /      /
                                                                                                                                                       Employee Hire/Service Date   _________________      ire/Service Date
                                                                                                                                                                       Status:  ■ Full-time  ■ Part-time
                                                                                                                                                               /      //      /
                                             Last

            /   /          B  – Bereavement  K – Termination  U – Unexcused  Department: _______________________  Hire Date:________________         Employee H Employee Hire/Service Date   __________________________________  Status:  ■  Status:  ■ Full-time  ■ Part-timeFull-time  ■ Part-time     ■ __________________________________________
                                                      Middle
                                                  First
                                                      /            /
            /   /          D – Doctor’s Appointment  LE– Left Early  X  – Illness in the Family                                                        Employee I   Employee Instructions Employee Instructionsnstructions  This report is for a :   ■ New absence
                                L  – Leave of Absence
                           C  – Partial Hours Worked
                                    V – Vacation
                                                    (          )
                                                                                                                                                                    •
                                                                                                                                                     •
            /   /          E  – Excused  LO– Layoff  Y  – Floating Holiday  Position:  ____________________________ Phone #:________________  Used by more than a million businesses, these cards are the classic   •  Comple  Comple • •  Complete information above.  Complete information above.•  Complete information above.•  Complete information above.te information above.te information above.  •  Indicate  Indicate • •  Indicate reason(s) below.   Indicate reason(s) below. •  Indicate
                                M – Military Leave
                           F  – FMLA
                                    Z  – Last Day Worked
                                                                                                                                                       •
                                                                                                                                                                    •
            /   /          G – Injury on Job  N – No Call/No Show  __–  _______________________  Employee/Payroll #: ___________________________________________  • •  Make re  Make re •  Make requests below by placing ✗’s in calendar days.  Make requests below by placing ✗’s in calendar days.•  Make requests below by placing ✗’s in calendar days.•  Make requests below by placing ✗’s in calendar days.quests below by placing ✗’s in calendar days.quests below by placing ✗’s in calendar
                                                                                                                                                     N
                                P  – Personal
                                    __–  _______________________
                                                                                                                                                       NOTE: PUBLIC HOLIDAYS ARE HIGHLIGHTEDOTE: PUBLIC HOLIDAYS ARE HIGHLIGHTEDNOTE: PUBLIC HOLIDAYS ARE HIGHLIGHTEDNOTE: PUBLIC HOLIDAYS ARE HIGHLIGHTEDOLIDAYS ARE HIGHLIGHTEDOLIDAYS ARE HIGHLIGHTED
                                                                                                                                                     NOTE: PUBLIC HOTE: PUBLIC H
                           H – Holiday
                                                                                                                                                       N
            /   /          I  – Illness - Self  S  – Suspension    = Legal Public Holidays  Vacation Time: _____________________  Sick Time:________________  January  JanuaryJanuary  February  FebruaryFebruary  March  MarchMarch   Legal Public Ho  Legal Public Holiday Legal Public Holidayliday  Employee Name  __________________________________________________________________________________________
                                                                                                                                                                                                                                Middle
                                                                                                                                                                                                                        First

                                                                                                                                                                                                                Last
                                                                                                                                                                                                        Employee/Payroll # ________________________________________________________________________________________
            /   /          January   February  March           way to track employee attendance and quickly spot troubling                             S   M    S   S T   M M W   T T T   W W F   T T S  F F    S  SS M     S   S T   M M W   T T T   W W F   T T S  F F    S  SS M      S  S T   M  M W   T  T T   W F  W   T  T S  F  F  1  January S S New Year’ JanuaryJanuary New Year’s DayNew Year’s Day  Absence Report
                                                                                                                                                                                   1   1 s Day
            /   /             S   M   T   1   W  2   T  3   F  4   S  5   Total     S   M   T   W   T   F  1   S  2   Total     S   M   T   W   T   F  1   S  2   Total  Routing:  Routing: ■ Human Resources■ Human Resources     1      2   1 1 3   2 2 4   3 3   4 4   1     1  1   2    1  1 3   2  2 4   3  3 5   4  4 6   5  5 7   6  6    20  Martin Luther King Jr. Day  Telephone #  _________________________________________ Shift   _______________________________________________

                                                                                                                                                                       1
                                                                                                                                                                                                           (                )


                                                                                                                                                                                7  7


                                                                                                                                                                                   20
                                                                                                                                                                                   20  Martin Luther King Jr. DayMartin Luther King Jr. Day
                                                                                                                                                                           10  11  12  13  14 12  13  14
                                                                                                                                                      6
                                                                                                                                                       5
                                                                                                                                                         5   5 7
                                                                                                                                                      ■  ____________________________
                                                                                                                                                          7 7 9
                                                                                                                                                                2
                                                                                                                                                         6 6 8
                                                                                                                                                                               February
            /   /                                                                                                                       2020 T 2020 Time Off Request & Approvalime Off Request & Approval         ■  ____________________________ 8 8  10  11  9 9   10  11 10  11  3     2   2 4   3 3 5   4 4 6   5 5 7   6 6 8   7 7    8  8 8  9      8  8 10  11  9  9   10  11  12  13  14   FebruaryFebruary  2020 Time Off Request & Approval     Routing: ■ Human Resources
                                                                                                                                                                                                        List Date(s) Absent  ________________________________________________________________________________________
                                                                                                                                                     Routing: ■ Human Resources
                                                                                                                                                                                 14  Valentine’s Day
                                                                                                                                                                                   14  Valentine’s Day  14  Valentine’s Day
                                                                                                                                                         12  13  14  15  16  17  18   12  13  14  15  16  17  18 14  15  16  17  18
                                                                                                                                                                                                              ■  ____________________________
                                                                                                                                                      ■  ____________________________
                                                                                                                                                      ■  ____________________________
                                                                                                                                                                          15  16  17  18  19  20  21 17  18  19  20  21
            /   /             6   7   8   9   10   11   12      3   4   5   6   7   8   9      3   4   5   6   7   8   9   attendance patterns.  Please Print Please Print 2020 Time Off Request & Approval      12  13  ■  ____________________________   9   10    9   9 11   10  11  12  13  14  15 10  11  12  13  14  15 12  13  14  15     15  16    15  16  17  18  19  20  21     17  Presidents’ Day  17  Presidents’ Day  To: __________________________________ Date ___________
                                                                                                                                                                                 17  Presidents’ Day

                                                                                                                                                                                                              ■  ____________________________
                                                                                                                                                         19  20  21  22  23  24  25   19  20  21  22  23  24  25 21  22  23  24  25
                                                                                                                                                                                   26  Ash Wednesday  26  Ash Wednesdayay
                                                                                                                                                                          22  23  24  25  26  27  28
                                                                                                                                                                                 26  Ash Wednesd
                                                                                                                                                         19  20
                                                                                                                                                                                                  Please Print
            /   /             13   14   15   16   17   18   19      10   11   12   13   14   15   16      10   11   12   13   14   15   16   Employee Name  ______________________________________________________ ■  ____________________________   16  17    16  17  18  19  20  21  22   16  17  18  19  20  21  22 18  19  20  21  22     22  23    22  23  24  25  26  27  28 24  25  26  27  28   March   8   Daylight Saving Tim Daylight Saving Time beginsDaylight Saving Time beginse begins
                                                                                                                                                         /     /
                                                                                                                                                           /     /
                                                                                                                                         Employee Name  ______________________________________________________   Date _____________
                                                                                                                                                                                 MarchMarch
                                                                                                                                          Please Print
                                                                                                                                                       26  27    Date _____________
                                                                                                                                                                                                        Absence Reported by     ■ Employee   ■ Other:  His/Her Name  _________________________________________________________
                                                                                                                                                                  23  24  25  26  27  28  29  23  24  25  26  27  28  2925  26  27  28  29
                                                                                                                                                                        29  30
                                                                                                                                                           31
                                                                                                                                                             3131  23  24
                                                                                                                                                                          29  30  31 3131
                                                                                                                                                         26  27  28  29  3028  29  30
                                                                                                                                                                          29  30
                                                                                                                                                         26  27  28  29  30
                                                                                                                                                                                   8   8
                                                                                                                                              Last
                                                                                                                                                  First
                                                                                                                                                   First
                                                                                                                                                                                                  Employee Name  ______________________________________________________   Date _____________
                                                                                                                                                                                                                   /     /

            /   /             20   21   22   23   24   25   26      17   18   19   20   21   22   23      17   18   19   20   21   22   23   Employee/Payroll # ________________________________Department  ____________________________ /     /    17  St. Patrick’s Day   17  St. Patrick’s Day  17  St. Patrick’s Day  Employee #  ___________________________________________  (                )
                                                                                                                                             Last
                                                                                                                                                      Middle
                                                                                                                                                       Middle
                                                                                                                                         Employee/Payroll # ________________________________Department  ____________________________
                                                                                                                                                                                                                   Telephone #  ____________________________________________________________
                                                                                                                                          Employee Name  ______________________________________________________   Date _____________

                                                                                                                                                                                                            First

                                                                                                                                                                                                                Middle
                                                                                                                                                                                                       Last
                                                                                                                                                     April
                                                                                                                                                                               April
                                                                                                                                               Last
                                                                                                                                                    First

            /   /             27   28   29   30   31     24   25   26   27   28     24   25   26   27   28   29   30                    Employee Hire/Service Date ________________   Status:  ■ Full-time   ■ Part-time AprilApril Middle M  M W   T  T T   W F  W   T  T S  F  F    S  May S S M       S  S T  MayMay  M  M W   T  T T   W  W F   T  T S  F  F    S  June S S M    S   S T  JuneJune M M W   T T T   W W F   T T S  F F   8-16  Passover  AprilApril   5   5 ay  Palm SundayPalm Sunda
                                                                                                                                              /     /
                                                                                                                                               /     /
                                                                                                                                         Employee Hire/Service Date ________________
                                                                                                                                                                                 5
                                                                                                                                                         ____________________________
                                                                                                                                                                                                        Was notification of absence received in a timely fashion?     ■ Yes   ■ No
                                                                                                                                                                                Palm Sund
                                                                                                                                                    Status:  ■ Full-time   ■ Part-time
                                                                                                                                                         S  S T
                                                                                                                                                       S
                                                                                                                                          Employee/Payroll # ________________________________Department  M
                                                                                                                                                                                SS
            /   /                                 31           ■  Simple coding system for marking missed days and tardies                Employe   Employee Instructionse Instructions  /     /  Status:  ■ Full-time   ■ Part-time     2   1  1 3   2  2 4   3  3   4  4   1   2   1     2  2  1      2   1 1 3   2 2 4   3 3 5   4 4 6   5 5    10  Good Friday  8-16  Passover 8-16  Passover  Type of occurrence:    Tardiness     Absence     Vacation


                                                                                                                                                                      1
                                                                                                                                                                                                            Status:  ■ Full-time   ■ Part-time
                                                                                                                                                                                                        /     /

                                                                                                                                                             1
                                                                                                                                                                                6 6

                                                                                                                                                                                                  Employee Hire/Service Date ________________
                                                                                                                                                                                   10  Good Friday  10  Good Friday
                                                                                                                                          Employee Hire/Service Date ________________
                                                                                                                                                                                                        Absence     ■ Paid   ■ Unpaid   ■ Other _____________________________________
            /   /          Notes _____________________________________________  Notes _____________________________________________  Notes _____________________________________________  •  Compl •  Complete information above.ete information above.  •  Indicat •  Indicate reason(s) below. e reason(s) below.   6     5  5 7   6  6 8   7  7 9   8  8  10  11  9  9   10  11  4       3  3 5   4  4 6   5  5 7   6  6 8   7  7 9   8  8   7  9  9  8    7   7 9   8 8  10  11  9 9   10  11  12  1
                                                                                                                                                             10  11

                                                                                                                                                                3
                                                                                                                                                       5
                                                                                                                                                                                                    Employee Instructions
                                                                                                                                            Employee Instructions
                           __________________________________________________
                                                                                                                                                                                   22
                                               __________________________________________________
                                     __________________________________________________
                                                                                                                                                                                 22  Administrative Pr
                                                                                                                                                                                                           •  Indicate reason(s) below.
                                                                                                                                                                                                        If medically treated, was a doctor seen?     ■ Yes   ■ No
                                                                                                                                                                                                  •  Complete information above.
                               Quarter
                                                                                                                                                       12  13
            /   /          __________________________________________________  __________________________________________________  __________________________________________________  •  Make r •  Make requests below by placing ✗’s  equests below by placing ✗’s    •  Sign be •  Sign below and return to your supervisor for approval.low and return to your supervisor for approval.    10     10  11  12  13  14  15  16  15    14  15  16  17  18  19  20   14  15  16  17  18  19  20 16  17
                                                                                                                                                                  10  11  12  13  14  15  16 12  13  14  15  16
                                                                                                                                                                        14
                                                                                                                                                         12  13  14  15  16  17  18 14  15  16  17  18
                                                                                                                                                         12  13  14  15  16  17  18  11
                                                                                                                                        in calend
                                 ▼
                                                                                                                                          in calendar days.ar days.
                                                                                                                                          •  Complete information above.
                                                                                                                                                   •  Indicate reason(s) below.
                               Total
                                                                                                                                                                                                           •  Sign below and return to your supervisor for approval.
                                                                                                                                                                                                  •  Make requests below by placing ✗’s
                                                                                                                                                     NOTE: PUBL
                                                                                                                                                      NOTE: PUBLIC HOLIDAYS ARE HIGHLIGHTEDIC HOLIDAYS ARE HIGHLIGHTED

                                                                                                                                                         19  20  21  22  23
                                                                                                                                                         19  20  21  22  2321  22  23
                                                                                                                                                    March 19  20
                                                                                                                                                                          21  22   23  24  25  26  27
                                                                                                                                                                  17  18  19  20  21  22  23 19  20  21  22  23
                                                                                                                                                             24  25 24  25  18
                           April     May       June                                                                                     January January •  Make requests below by placing ✗’s    •  Sign below and return to your supervisor for approval.   17     17  18  19  20  21  22  23  22     21  22   23  24  25  26  27 23  24  25  26  27     16  Armed For   16  Armed Forces Day  16  Armed Forces Dayces Day  in calendar days.  If the absence exceeded three days, was physician certif
                                                                                                                                                                        21
                                                                                                                                                           24  25
                                                                                                                                                          ■ Legal Public Holiday
                                                                                                                                                        ■ Legal Public Holiday
                                                                                                                                                                                                               NOTE: PUBLIC HOLIDAYS ARE HIGHLIGHTED
                                                                                                                                               February
                                                                                                                                           in calendar days. February
                                                                                                                                                          January
                                                                                                                                                        January
                                                                                                                                                                24
                                                                                                                                                                24
                                                                                                                                                  T    S
                                                                                                                                                  S
                                                                                                                                                      T
                                                                                                                                                                          28  29  30 3030
           Sick Time and Vacation Time     S   M  1   T   2   W  3   T  4   F  5   S  6   Total     S   M   T   W  1   T  2   F  3   S  4   Total     S   M   T   W   T   F   S  1   Total  ■   Special section to record sick time and vacation days    S   M     S T   W M   1   T   T 2   F 3 W   1    S 4 T    2    F S  3   SM  4     S T   W M    T T    W   F  1    1  F  March 1    1    26  T  March 3  27  S W   F 4   6  NOTE: PUBLIC HOLIDAYS ARE HIGHLIGHTED  24    25      3131 26  27  28
                                                                                                                                                   SM
                                                                                                                                                         26  27  28   2928   29
                                                                                                                                                      S T
                                                                                                                                                         26  27  28   29  30  30  30
                                                                                                                                                       T
                                                                                                                                                                 25  26  27  28  29  30 25  26  27  28  29  30  29
                                                                                                                                                     M
                                                                                                                                                     W
                                                                                                                                                          New Year’s Day
                                                                                                                                                        F    1
                                                                                                                                                                                                        If so, did the employee provide this?     ■ Yes   ■ No
                                                                                                                                                          ■ Legal Public Holiday   31
                                                                                                                                                            1
                                                                                                                                                         S New Year’s Day
                                                                                                                                                    3
                                                                                                                                                                                                                  January
                                                                                                                                                       5
                                                                                                                                                   2
                                                                                                                                                         7
                                                                                                                                                      5
                                                                                                                                                       7
                                                                                                                                                     2
                                                                                                                                                     4
                                                                                                                                                                                                        M
                                                                                                                                                                                                   M
                                                                                                                                                                                                    S
                                                                                                                                                                                                     T
                                                                                                                                                                                                    W
                                                                                                                                                                                                    T
                                                                                                                                                            20  Martin Luther King Jr. Day
                                                                                                                                                                                 JuneJune
                                                                                                                                                        6    20  Martin Luther King Jr. Day
                                                                                                                                                                                                         S
                                                                                                                                                                                                         T
                                                                                                                                                                                                      F
                                                                                                                                                                               June
                                                                                                                                                                                                       S
                 Sick Time   Vacation Time   Notes                                                                                        5   6     5 7     S  6 8  January 8 9  10  11  W  9  10  11    2   2  T   F  3   S4     S  3 5  February T  5   7  W  6 8    T  7 8   F  8    8 9   1    1  July 13  14  W   JulyJuly F  14   S  February January   1  Valentine’s Day     August      AugustAugust  September SeptemberSeptember    14  Flag Day    14  Flag Day  14  Flag Day  Reason for Oc
                                                                                                                                                                                                                   New Year’s Day
                                                                                                                                                        T  February
                                                                                                                                                       S  9  10  11  12  13 11  12
                                                                                                                                                     M
                                                                                                                                                                                                     2
                                                                                                                                                M  4 6
                                                                                                                                                                                                    1
                                                                                                                                                    S10
                                                                                                                                                      T
                                                                                                                                            T
                                                                                                                                           M  7
                                                                                                                                                                                                      3
                                                                                                                                                                                                      4
                                                                                                                                                          14  Valentin
                                                                                                                                                           New Year’s Day
                                                                                                                                                            14 e’s Day
                                                                                                                                                      2
                                                                                                                                              3
                                                                                                                                                      3
                                                                                                                                               4
                                                                                                                                                        6
                                                                                                                                             2
                                                                                                                                                         7    17  Presidents’ Day
                 Allowed in 2019 ________     Allowed in 2019 ________     7   8   9   10   11   12   13      5   6   7   8   9   10   11      2   3   4   5   6   7   8     12  13     12  13  14  15 14  15  16  17  18 7   1  16  17  18    9  10  11  12  13  14  15    15  16  17  18  19  20  21     9  10  11  12  13  14  15    15  16  17  18  19  20  21  4   5   17  Presidents’ Day   20  Martin Luther King Jr. Day    21  Father’s Day   21  Father’s Day  21  Father’s Day    5   6   7
                                                                                                                                                          26
                                                                                                                                             9  10  11    2
                                                                                                                                                      9  10  11  12  13
                                                                                                                                            8
                                                                                                                                                3
                                                                                                                                                   7
                                                                                                                                                  6
                                                                                                                                                 4
                                                                                                                                                  5
                                                                                                                                                           W W F
                                                                                                                                                          February
                                                                                                                                                            19  20  21    8  T
                                                                                                                                                    8    8    S
                                                                                                                                                                                                         Reason for Absence 18  19  20  21
                                                                                                                                           6  24  25    16  17  18  19  20  21  22    22  23  24  25  26  27  28
                                                                                                                                                                                                    12  13  14  15  16  17
                Carried over from 2018 ________    Carried over from 2018  _______                                                        19  20     19 21  22  23     23  24     23  24  25  26  27  28  29   29  30  3125  26  27  28  29   29  30  31  M    S   S  27  28  W  M M  14    26  Ash WednesdayAsh Wednesday March T T    14  Valentine’s Day T T S  F F    S  SS M     S   S T   M M W   T T T   W W F   T T S  F F    S  SS M    S   S T   M M W   T T T   W W F   T T S  F F  July  SS
                                                                                                                                            5  20  21  22  23  24  25    16  17  18  19  20  21  22    22  23  24  25  26  T  March
                                                                                                                                                                                                                    26  Ash Wednesday
                                                                                                                                           26  27  28  29  30  3128  29  30  31
                                                                                                                                                                                                    19  20  21  22  23  24  25    16  17  18  19  20  21  22    22  23  24  25  26

                                                                                                                                                                                                           ■ 11  Death in family 27  28

                                                                                                                                                                       1
                                                                                                                                          26  27
                                                                                                                                                           1 1 3
                                                                                                                                                            17  Presidents’ Day
                                                                                                                                                          Daylight Saving Time beginse begins
                                                                                                                                                                                   3   3
                                                                                                                                                          8
                                                                                                                                                         Daylight Saving Tim
                                                                                                                                            12  13  14  15  16  17  18    9  10  11  12  13  14  15    15  16  17  18      17  St. P
                                                                                                                                                                                                                   Daylight Saving Time begins
                                                                                                                                                                                (observed)

              Allowed   Taken   Available  Allowed   Taken   Available     14   15   16   17   18   19   20      12   13   14   15   16   17   18      9   10   11   12   13   14   15   April  April   19  20  21  22  23  24  25    16  17  18  19  20  21  22    22  23  24  25  26  27  1     28    17  St. Patrick’s Dayatrick’s Day April 9  2       26  Ash Wednesday 2 2 4   3 3   4 4   1       1          1      2   1 1 3   2 2 4   3 3 5   4 4    3      5 5  Independence Day Independence
                                                                                                                                                                                                    26  27  28  29  30  31
                                                                                                                                                                                                           ■ 12  Jury duty/court
                                                                                                                                                   F  June
                                                                                                                                             F  May
                                                                                                                                                         6 6 8
                                                                                                                                                        April
                                                                                                                                                           Daylight Saving Time begins   2
                                                                                                                                                          7 7    8  Palm Sunday 11
                                                                                                                                               May
                                                                                                                                                          March
                                                                                                                                                                                  In
                                                                                                                                               W
                                                                                                                                                         S Palm Sunday
                                                                                                                                           T
                                                                                                                                           T
                                                                                                                                                T
                                                                                                                                            S
                                                                                                                                            F
                                                                                                                                          W
                                                                                                                                                       T  7
                                                                                                                                                 W
                                                                                                                                                 F
                                                                                                                                          M
                                                                                                                                            W
                                                                                                                                                  S
                                                                                                                                                T
                                                                                                                                                M
             January          21   22   23   24   25   26   27      19   20   21   22   23   24   25      16   17   18   19   20   21   22   ■  Plenty of room to document notes and warnings    S   M     S T     26  27  28  29  30  31 SM  4     S T     23  24  25  26  27  28  29   29  30  31 W  6  S F  5 3      5   5  F  5   8-16  Passover   5   8-16  Passover 8 8  10   9 9   10  11 10  11  3     2   2 4   3 3 5   4 4 6   5 5 7   6 6  8   7 7   6  8  8  7    6   6 8   7 7 9   8 8  10
                                                                                                                                             T    S
                                                                                                                                                   S M
                                                                                                                                                  T    S
                                                                                                                                                                                                                  April
                                                                                                                                                    June   5  T
                                                                                                                                                      S T
                                                                                                                                                      T
                                                                                                                                                     M
                                                                                                                                                            17  St. Patrick’s Day
                                                                                                                                                                                                             June
                                                                                                                                                     W
                                                                                                                                                   1

                                                                                                                                             2
                                                                                                                                                                                                           ■ 13  Birthday
                                                                                                                                             3
                                                                                                                                                   2  1
                                                                                                                                          1
                                                                                                                                                                 10  11  12  13  14  15 12  13  14  15
                                                                                                                                            1  4
                                                                                                                                                 1
                                                                                                                                                  2
                                                                                                                                                                                                                   Palm Sunday
                                                                                                                                                       4
                                                                                                                                                                        13
                                                                                                                                           2
                                                                                                                                                       S  8    12  4
                                                                                                                                                      2
                                                                                                                                                     1
                                                                                                                                                        5
                                                                                                                                                                                 SeptemberSeptember
                                                                                                                                                                                                                    5
                                                                                                                                                     3
                                                                                                                                                         6
                                                                                                                                                                                                      F
                                                                                                                                                                                                    T
                                                                                                                                                                                                    W
                                                                                                                                                         12  13  14  15  16  17  18  10 14    10  Good Friday
                                                                                                                                                                                                     T
                                                                                                                                                                                                            S
                                                                                                                                                                                                          T
                                                                                                                                                                                                   M
                                                                                                                                                                                                           F
                                                                                                                                                          April Good Friday
                                                                                                                                                            10
                                                                                                                                                                                                    S
                                                                                                                                                                                                         T
                                                                                                                                                                                                          W
                                                                                                                                                                                                       S
                                                                                                                                                                                                                F
                                                                                                                                                                                                                 S
                                                                                                                                                                                                              T
                                                                                                                                                                                                             M
                                                                                                                                                                                                              S
                                                                                                                                                           Palm Sunday
                                                                                                                                                            12
                                                                                                                                                                                                                   8-16  Passover
                                                                                                                                                                                Labor Day
                                                                                                                                                        T    12  Easter Sunday
             February         28   29   30     26   27   28   29   30   31     23   24   25   26   27   28   29                           5   6     5 7     S  6 8  April 3  T  8   W  9  10  11    3   3  T   F  4   S5     S  4 6  May M  5 7   T  6   8  9  W  7    7  T  8   F  9  8   S   7    19 June 2  13  6    12  13  14  15  16  17  18   9 15  16  17  18       9  9 11   10  11  12  13  14  15  14    13  14  15  16  17  18  19   13  14  15  16  17  18  19 15  16  17  18  19     7
                                                                                                                                                            5  Easter Sunday
                                                                                                                                                                                                                5
                                                                                                                                                                                                            2
                                                                                                                                                                                                     2
                                                                                                                                                      T
                                                                                                                                                     M  9  10  11  12  13 11  12  13
                                                                                                                                                                                                                    10  Good Friday
                                                                                                                                                                                                                 6
                                                                                                                                                                                                           1
                                                                                                                                                                                                    1
                                                                                                                                                                                                      3
                                                                                                                                                                                                             1
                                                                                                                                                                                                      4
                                                                                                                                                                                                              2
                                                                                                                                                         S

                                                                                                                                                       W
                                                                                                                                           M  7  9  10  11
                                                                                                                                                    9  10
                                                                                                                                                      1   20
                                                                                                                                                                  16  17  18  19  20  21  22  21
                                                                                                                                                                                                                _____   Illness – Family
                                                                                                                                                           8-16  Passover
                                                                                                                                                                                                           ■ 14  Military
                                                                                                                                                        F  Administrative Professionals Day®
                                                                                                                                                          22
                                                                                                                                                            22  Administrative Professionals Day®
                                                                                                                                                                                                              7
                                                                                                                                                       3
                                                                                                                                                         6  May
                                                                                                                                                                                                             8
                                                                                                                                                                                                            9
                                                                                                                                                        4
             March                                                                                                                        12  13     12  13  14  15 14  15  16  17  18 7   1  16  17  18    10  11  12  13  14  15  16     10  11  12  13  14  15  16  6     14  7    21  22  1  15  8   2    14 16  9   23  24     15  16  17  18  19  20 17  18  19  20    19  20  21  22  23  24  25   16 22  23  24  25   24    16  17  18  19  20  21  22 18  19  20  21  22     20     20  21  22
                                                                                                                                                                                                   6
                                                                                                                                               4
                                                                                                                                                                                                    7
                                                                                                                                                                                                          7
                                                                                                                                                                                                        4
                                                                                                                                             2
                                                                                                                                                                                                          6
                                                                                                                                                        5
                                                                                                                                                                                                    8
                                                                                                                                                      2
                                                                                                                                                            10  Good Friday
                                                                                                                                                                                                    5
                                                                                                                                                                                                           8
                                                                                                                                                                                                                    12  Easter Sunday
                                                                                                                                                                                                     9  10  11    3
                                                                                                                                                         19  20  21  22  23  24  25  17 21  May
                                                                                                                                              3
                                                                                                                                           6
                                                                                                                                                                 24
                                                                                                                                                                23 23
                                                                                                                                                 5
                                                                                                                                            8
                                                                                                                                             9  10  11    3
                                                                                                                                                            12  Easter Sunday
                                                                                                                                                            22  Administrative Professionals Day® 23
                                                                                                                                                4
                                                                                                                                                      9  10  11  12  13    10  Mother’s Day  10  Mother’s Day
                                               30
                                                                                                                                            5  20  21  22  23  24  25    17  18  19  20  21  22  23 22  23  24  25    17  18  19  20  21  22  23
                                                                                                                                                                 24   25  26  27  28  29   25  26  27  28  29 27  28  29
                                                                                                                                                      8  25  26
                                                                                                                                            12  13  14  15  16  17  18    10  11  12  13  14  15  16  21  22  23  24  25  26  27
                                                                                                                                            19  20  21  22  23  24  25    17  18  19  20  21  22  23  28  29  30 27  27
                                                                                                                                                         26  27  28  2928  29  30  31
                                                                                                                                                       7    26
                                                                                                                                                                                                         _____   Educational 15  16  17  18  19  20
                                                                                                                                                                                                                  May
             April         Notes _____________________________________________  Notes _____________________________________________    Notes _____________________________________________    19  20     19 21    26  27  28  29  3028  29  30    24   25  26    24   25  26  27  28  29  30 29    30    14  15  16  17  18  19  20    25  Memorial Day  25  Memorial Day   16 ces Day May Armed Forces Day  31         30 30  25  26  3131    27  28    27  28  29  30  27  28  29  3029  30  October
                                                                                                                                                         26  27  28  29  30  31  30  31  30
                                                                                                                                                          16  Armed For
                                                                                                                                                                                                   out of plant  24  25    17  18  19  20  21  22  23
                                                                                                                                                                                                                    10  Mother’s Day
                                                                                                                                                                                                           ■ 15  Weather 24  25  26  27
                                                                                                                                                    28
                                                                                                                                                                                                    19  20  21  22  23
                                                                                                                                          26  27
                                                                                                                                                 31 27  28  29  30
                                                                                                                                                                                                                    16  Armed Forces Day
                                                                                                                                               31
                                                                                                                                                            10  Mother’s Day
             May           __________________________________________________  __________________________________________________  __________________________________________________    21  22  23  24  25  26  27  JuneJune   14  Flag Da   14  Flag Dayy    16  Armed Forces Day           12  Columbus Day   12  Columbus Day  12  Columbus Day    26  27  28  29  30    24   25  26  27  28  29  30  _____   Jury Duty  _____   Personal Day  _____    ______________
                                                                                                                                                                                                         _____   Excused*   28  29  30
                                                                                                                                                                                                                    25  Memorial Day
                                                                                                                                                                                                         31
                                                                                                                                                            25  Memorial Day
                                                                                                                                                     M  Octob
                                                                                                                                                 24   25  26  27  28  29  30 SeptemberSeptember
                           __________________________________________________  __________________________________________________  __________________________________________________  ■  Made of durable card stock to withstand daily use  July  July   26  27  28  29  30August  August    28  29  30er  OctoberOctober    21  Father’s Day  November  NovemberNovember  December  DecemberDecember    16  National Boss Day  ■ 5  Plant injury   ■ 16  Medical appointment  June   14  Flag Day
                                                                                                                                                          21  Father’s Day
                                                                                                                                                                                   16  National Boss Day  16  National Boss Day
                                                                                                                                                          June

                                                                                                                                                       T
                                                                                                                                                   SM
             June                                                                                                                         S   M     S T   W M   1  July 2  T T    F 3 W   1    S 4 T    2    F S  3   SM  4     S T     31 M W  August T T    F W    1     F S   1       S  3    2  September 3  T    3  F  July  M M W  S 5  Independence Day  Independence Day  T T S  F F    S  SS M     S   S T   M M W   T T T   W W F   T T S  F F    S  SS M    S   S T   M M W   T T T   W W F
                                                                                                                                                  T
                                                                                                                                                      T
                                                                                                                                                      T
                                                                                                                                                      F
                                                                                                                                                            T
                                                                                                                                                          July
                                                                                                                                                      S T
                                                                                                                                                           W W F
                                                                                                                                                       S
                                                                                                                                                  S
                                                                                                                                                     W
                                                                                                                                                                                SS
                                                                                                                                                      W  M  5
                                                                                                                                                          T T  14  Flag Day
                                                                                                                                                      1  4
                                                                                                                                                      2
                                                                                                                                                         S   S  4

                                                                                                                                                    1
                                                                                                                                                            21  Father’s Day
                                                                                                                                                                                                                  July
                                                                                                                                                                                                             M
                                                                                                                                                            3
                                                                                                                                                         5  September 2
                                                                                                                                                                               November
                                                                                                                                                          1
                                                                                                                                                          (observed)
                                                                                                                                                         (observed)
                                                                                                                                                                                 NovemberNovember
                                                                                                                                                         S
                                                                                                                                                 T  5
                                                                                                                                                                                                                    3
                                                                                                                                                                                                              1

                                                                                                                                                                                                            1
                                                                                                                                                 7
                                                                                                                                                                                                      3
                                                                                                                                                 S  3 5
                                                                                                                                                                                                                   Independence Day
                                                                                                                                                                                                                3
                                                                                                                                                                                                           ■ 17  Recognition 2
             July             July S   M   T   W   T   F   S   Total     August M   T   W   T   F   S   Total     September T   W   T   F   S   Total    5    12  13  6     5 7    12  13  14  15 14  15  16  17  18 T  8   W  9  10  11   2  T  2   F  3  3   S   2 4  4    9  10  11  12 11  12  13  14  15 W  6 8    T  7 6   F  8    6 7   S 1     7 8     S  9   M  8 10     T  9 11  1   W  10  11  12 12  2   T    4  3  September 4  F  Independence Day July Independence Day 1  3  1  2 2   1
                                                                                                                                                                                                                 5
                                                                                                                                                M  4 6
                                                                                                                                                                                                                4
                                                                                                                                            S  6 8
                                                                                                                                           M  7  9  10  11
                                                                                                                                                                                                    1
                                                                                                                                                                                  Daylight Saving Time endsDaylight Saving Time ends
                                               S
                                                 M
                                     S
                                                                                                                                                            4
                                                                                                                                                                                                         4
                                                                                                                                            1  16  17  18   9  10
                                                                                                                                                  5  13  14  15    13  14  15  16  17  18  19     13  14  15  16  17  18  19
                                                                                                                                                                                                    5
                                                                                                                                                           Independence Day
                                                                                                                                                                                                                   (observed)
                                                                                                                                                                                                               9
                                                                                                                                                                                                                10
                                                                                                                                                                                                            8    6
                                                                                                                                                                                                              8
                                                                                                                                                            3
                                                                                                                                                                                                    7
                                                                                                                                                                                                    8
                                                                                                                                                                                                          5
                                                                                                                                                                                                          6
                                                                                                                                                                                                           ■ 18  Floating holiday 11  12
                                                                                                                                                                                                           7
                                                                                                                                                                                                             7
                                                                                                                                                                                                   6
                                                                                                                                                                                                                    4
                                                                                                                                                    8    6    4
             August          1   2   3   4   5   6   1   2   3      1   2   3   4   5   6   7                                             19  20     19  20 21  22    5  23  6  21  22  23  24  24  25  8   9  10  11  16 25 16  17    18    2  17  18  19  20  21  22    20  21  22  23  24  25  26 19  20  21  22    20  21  22  23  24  25  26    4   4  10  11  12    7  8  6 6    4  Labor Day (observed) 7 7 9   8 8  10   9 9   8  10 10  9     8   8 10  11  9 9   10  11  12  13  14 10  11  12
                                                                                                                                                      8 5
                                                                                                                                                         5 5 7
                                                                                                                                                                                                                   Independence Day
             October Fiscal Year      7   8   9   10   11   12   13      4   5   6   7   8   9   10      8   9   10   11   12   13   14   ■  Includes a ComplyRight guide to help you manage      26  27  28    26  27  28  29  30  31 31       30  F  November     25  November 24   25  26  27  28  29    27  28  29  30   11  12  13  14  15  16  17   11  12  13  14  15  16  17 13  14  15  16  17     15  16    15  16  17  18  19  20  21  14    13  14  15  16  17  18  19   13  14  15  16  17
                                                                                                                                            7
                                                                                                                                                                                Election Day
                                                                                                                                                                                  Election DayElection Day
                                                                                                                                                         Labor Day
                                                                                                                                                      7
                                                                                                                                                  6
                                                                                                                                                3
                                                                                                                                                       9  6    7
                                                                                                                                                 4
                                                                                                                                                   7
                                                                                                                                                                                                  ■ 7  Discipline  17  18
                                                                                                                                                           Independence Day
                                                                                                                                                                                                          _________________________________________________________________________________________________________________________________
                                                                                                                                                                                                                   Labor Day
                                                                                                                                                 9  10  11  12  13  14  15    13  14  15  16  17  18  19   18-20  Rosh Hashanah 18-20  Rosh Hashanah
                                                                                                                                                24   25  26  27  28  29    27  28  29  30 12
                                                                                                                                                          27-28
                                                                                                                                                                        13
                                                                                                                                                       11
             September
                                                                                                                                              24
                                                                                                                                                        27-28  Yom Kippur
                                                                                                                                                            7  Yom Kippur
                                                                                                                                            12  13  14  15  16  17  18  23 23
                                                                                                                                                                  15  16  17  18  19  20  21 17  18  19  20  21
                                                                                                                                                          September
                                                                                                                                            19  20  21  22  23  24  25  30  26  27  28  29    27  28  29  3029  30
                                                                                                                                                31
                                                                                                                                                           Labor Day
                                                                                                                                                                                   26  Thanksgiving Day  26  Thanksgiving Day
                                                                                                                                              31
                                                                                                                                                                                                                  27-28  Yom Kippur
                                                                                                                                                                                                           ■ 19  Comp time 30
                                                                                                                                                 16  17  18  19  20  21  22    20  21  22  23  24  25  26  OctoberOctober
                                                                                                                                                           18-20  Rosh Hashanah
                                                                                                                                                                                                          _________________________________________________________________________________________________________________________________
                                                                                                                                                                                                    26  27  28  29  30  31
                                                                                                                                                                                                        31
                                                                                                                                                                  22  23  24  25  26  27  28  21
                                                                                                                                                                  22  23  24  25  26  27  28 24  25  26  27  28
                                                                                                                                                          27-28  Yom Kippur
                                                                                                                                                            12  Columbus Dayus Day
                                                                                                                                          October
                                                                                                                                                                22  23
                                                                                                                                                                                                                  October
                                                                                                                                                 23
                                                                                                                                                      S    18
                                                                                                                                                                               December
                                                                                                                                                   F  December
                                                                                                                                                         18  19  20  21  22  23  24   18  19  20  21  22  23  24 20  21  22  23  24
                                                                                                                                                                                 DecemberDecember
                                                                                                                                                                          20  21  22  23  24  25  26   20  21  22  23  24  25  26 22  23  24  25  26
                                                                                                                                                                        20
                                                                                                                                        October
                                                                                                                                                          12  Columb
                                                                                                                                            26  27  28  29  30  31
                                                                                                                                                            16  National Boss Day
                                                                                                                                                 30
                                                                                                                                                31
                                                                                                                                                          16  National Boss Day
                                                                                                                                                                                                             December
                                                                                                                                                                                                  October
                                                                                                                                                                                                                    12  Columbus Day
                                                                                                                                                          October
                                                                                                                                                 W
                                                                                                                                                  S
                                                                                                                                                      T
                                                                                                                                                 F
                                                                                                                                                T
                                                                                                                                                            31  Halloween
                                                                                                                                                T
                                                                                                                                                      T
                                                                                                                                               W
                                                                                                                                                    T
                                                                                                                                                   S M
                                                                                                                                                 S T
                                                                                                                                                     W
                                                                                                                                                     M
                                                                                                                                              SM
                                                                                                                                                  T    S
                                                                                                                                                M
                                                                                                                                                    December 19  S
                                                                                                                                           T
                                                                                                                                                      W
                                                                                                                                           T
                                                                                                                                          M
                                                                                                                                                      F
                                                                                                                                          W
                                                                                                                                                         S
             December Available       14  21   15  22   16  23   17  24   18  25   19  26   20  27        11  18   12  19   13  20   14  21   15  22   16  23   17  24        15  22   16  23   17  24   18  25   19  26   20  27   21  28     S    4    11  12  M  5     S T    4 6    11  12  13  14  15 13  14    S  5 7    4  15  16  17    15  2 1  T  9  10    8 8  1  16  17    15  16  17  18  19  20  21    13  14  15  16  17  18  19   13  14  15  16  17  18  19  W  3    25  26  27  28  29
                                                                                                                                                        F    31  Halloween
                                                                                                                                            S
                                                                                                                                             T    S
                                                                                                                                                       T
                                                                                                                                            F
                                                                                                                                            W
                                                                                                                                                                  29  30 30
                                                                                                                                            3
                                                                                                                                                        F  5
                                                                                                                                                    S 1
                                                                                                                                                     December 2  26 5
                                                                                                                                          October 2
                                                                                                                                                M  3 5
                                                                                                                                               S   1 3
                                                                                                                                                       S   25
                                                                                                                                                                                                        List follow-up action scheduled, if any, with the employee and list the date _____________________________________________________________
                                                                                                                                                  7
                                                                                                                                             1
                                                                                                                                                            12  Columbus Day
                                                                                                                                                     M  1 3
                                                                                                                                                November 5
                                                                                                                                                 6
                                                                                                                                                   F  7       2
                                                                                                                                                 T  4
                                                                                                                                           1
                                                                                                                                                  T  6

                                                                                                                                              3 2
                                                                                                                                                 S  2 4
                                                                                                                                                         25  26  27  28  29  3027  28  29  30
                                                                                                                                                      4
             November
                                                                                                                                                                                                   M
                                                                                                                                                                                                              T
                                                                                                                                                                                                    T
                                                                                                                                                                                                        M
                                                                                                                                                                                                           F
                                                                                                                                                                                                    W
                                                                                                                                                                                                       S
                                                                                                                                                                                                     T
                                                                                                                                                                                                             M
                                                                                                                                                                                 25  Christmas Day
                                                                                                                                                                                                              S
                                                                                                                                                                                                                    31  Halloween
                                                                                                                                                        T  4  November
                                                                                                                                                                                                                F
                                                                                                                                                          November
                                                                                                                                                                                   25  Christmas Day  25  Christmas Day
                                                                                                                                                                                                    S
                                                                                                                                                            16  National Boss Day
                                                                                                                                                                                                            S
                                                                                                                                                                                                  ■ 10  Unknown  2
                                                                                                                                                                                                                4
                                                                                                                                                                                                      3    1
                                                                                                                                                                                                              1
                                                                                                                                                          1
                                                                                                                                                                                                     1
                                                                                                                                                                                                           ■ 21 Other_______________________
                                                                                                                                                  W
                                                                                                                                                                                                            7
                                                                                                                                                                                                           6
                                                                                                                                                         S
                                                                                                                                                                                                        2
                                                                                                                                                            1

                                                                                                                                                         Daylight Saving Tim
                                                                                                                                                          Daylight Saving Time endse ends
                                                                                                                                                      10
                                                                                                                                                   6  7
                                                                                                                                                                                   31  New Year’s Eve  31  New Year’s Eve
                                                                                                                                           M  6  8
                                                                                                                                            W  8
                                                                                                                                               3    1  9  10  11  12  13  14    6   6
                                                                                                                                                                                 31  New Year’s Eve
                                                                                                                                                            31  Halloween
                                                                                                                                              F  9  10  11  12  13  14
                                                                                                                                                        8
                                                                                                                                                    7     7 8
                                                                                                                                            T  7   10
                                                                                                                                                       2  10  11  12
                                                                                                                                                                                                                  November
                                                                                                                                            9
                                                                                                                                                     9
                                                                                                                                                      T  9 11  12
                                                                                                                                                                                                                   Daylight Saving Time ends
                                                                                                                                                        3    3
                                                                                                                                                         5    3
                                                                                                                                                2
                                                                                                                                                  5
                                                                                                                                                 3
                                                                                                                                                  4
                                                                                                                                                                                                                    1
                                                                                                                                                          Election Day
                                                                                                                                                          November
                                                                                                                                                        4  Election Day
                                                                                                                                                      1
                                                                                                                                                                                                   5
                                                                                                                                                                                                             7
                                                                                                                                                          11  Veterans Day
                                                                                                                                                                                                              8
                                                                                                                                                                                                     8
                                                                                                                                                            1  Veterans Day
                                                                                                                                              2  16  17  18  19  20  21
                                                                                                                                                                                                    4
                                                                                                                                                                                                    7
                                                                                                                                                                                                    6
                                                                                                                                                            11
                                                                                                                                                                                                        _______________________________________________________________________________________________________________________________________
                                                                                                                                                                                                        9  10  11  12  13  14    6
                                                                                                                                                           Daylight Saving Time ends
                                                                                                                                                                                                                   Election Day
                                                                                                                                                                                                                    3
                                                                                                                                                       9
                                                                                                                                            6
                                                                                                                                            7
                                                                                                                                                                                                    11  12  13  14  15  16  17    15  16  17  18  19  20  21    13  14  15  16  17  18  19
                                                                                                                                                      7
                                                                                                                                                                                                                    11  Veterans Day
                                                                                                                                                        10  11  12    26  Thanksgiving Day  26  Thanksgiving Day
                                                                                                                                                      8
                                                                                                                                             8
                                                                                                                                                                                                           ■ Written
                                                                                                                                                9  10  11  12  13  14    6  Reason for Request:
                                                                                                                                                           Election Day
                                                                                                                                                            3
                                                                                                                                              9  10    8  23  24  25  26  27  28    20  21  22  23  24  25  26   20  21  22  23  24  25  26
                                                                                                                                           5  23  24    22  23  24  25  26  27  28
                                                                                                                                                                                                               ■ In person    26  Thanksgiving Day
                                                                                                                                            11  12  13  14  15  16  17    15  16  17  18  19  20  21    13  14  15  16  17  18  19  DecemberDecember
                                                                                                                                                            11  Veterans Day
                                                                                                                                          25  26  27  28  29  30
                                                                                                                                                                                                    18  19  20  21  22  23  24    22  23  24  25
                                                                                                                                                      27  28  29  30  31
                                                                                                                                           25  26  27  28  29  30  31  31
                                                                                                                                                           10-18  Hanukkah
                                                                                                                                                         10-18  Hanukkah
                                                                                                                                                                                                        _________________________________________________________________________________________________________   Date ______________________
                                                                                                                                                            26  Thanksgiving Day
                                                                                                                                            18  19  20  21  22  23  24    22  23  24  25  26  27  28    20  21  22  23  24  25  26    25  Christmas Day
                                                                                                                                                                                                         29  30
           Verbal Reprimands or Written Warning Notices     28   29   30   31     25   26   27   28   29   30   31     29   30  attendance the right way      18  19     18  19  20  21  22  23  24    22 20  21  22     29  30    29  30    27  28  29  30  31  Reason for Request:  _________________________________________________________________________________________Reason for Request:  _________________________________________________________________________________________ __________
                                                                                                                                                     ___________________________________________________________________________________________________________
                                                                                                                                                                                                                   10-18  Hanukkah
                                                                                                                                                          December
                                                                                                                                                       ______________________________________________________________________________________________________________________________________________________________________________________________________________________
                                                                                                                                                                                                    25  26  27  28  29  30  31
                                                                                                                                                                                                              27  28  29  30  31
                                                                                                                                                          25  Christmas Day
                                                                                                                                                                                                        ■ Other _____________________________
                                                                                                                                                                                                  From:  ■ Employee
                                                                                                                                                 29  30
                                                                                                                                                                                                                    25  Christmas Day
                                                                                                                                            25  26  27  28  29  30  31
                                                                                                                                                            31  New Year’s Eve
                                                                                                                                                           10-18  Hanukkah
                                                                                                                                                       27  28  29  30  31   31  New Year’s Eve
                                                                                                                                                                                                                    31  New Year’s Eve
                                                                                                                                                                                                        Supervisor Comments ________________________________________________________________________________________________________________
                                                                                                                                                     Comments:
                                                                                                                                                       Comments:  _________________________________________________________________________________________________Comments:  _________________________________________________________________________________________________  _________________________________________________________________________________________________
              Date   Verbal   Written   Comments                                                                                       Reason f Reason for Request:  _____________________________________________________________or Request:  _____________________________________________________________  Reason for Request:  _____________________________________________________________
                                                                                                                                                            25  Christmas Day
                                                                                                                                                            31  New Year’s Eve
                                                                                                                                                                                                  Will return to work _____________________________________
            /     /  	  ■	  ■  Notes _____________________________________________  Notes _____________________________________________  _______________________________________________________________________________  _______________________________________________________________________________
                                                                                                                                          Reason for Request:  _____________________________________________________________
                                                                                                                                         _______________________________________________________________________________
                                                                                                                                                                                                        _______________________________________________________________________________________________________________________________________
                                                                                                                                                     ___________________________________________________________________________________________________________
                                                                                                                                                       ______________________________________________________________________________________________________________________________________________________________________________________________________________________
                                                                                                                                                                                                              ■ Deduct pay
                                                                                                                                          _______________________________________________________________________________
                                                                                                                                                                                                                   ■ None
                                                                                                                                                                                                  Recommended action:  ■ Make up time
            /     /  	  ■	  ■	  __________________________________________________  Notes _____________________________________________  __________________________________________________  A4000W50 – Attendance Calendar*   Commen Comments:  _____________________________________________________________________ts:  _____________________________________________________________________  Comments:  _____________________________________________________________________  /         /
                                     __________________________________________________
                                                                                                                                                                                                        _________________________________________________________________________________________________________   Date ______________________
                                                                                                                                         _______________________________________________________________________________
                                                                                                                                       _______________________________________________________________________________
                                                                                                                                          Comments:  _____________________________________________________________________
                                                                                                                                                     Employee’
                                                                                                                                                                                                        ■ Refer to Human Resources for FMLA review
                                                                                                                                                       Employee’s Signature   ________________________________________________________________   Date  ________________Employee’s Signature   ________________________________________________________________   Date  ________________s Signature   ________________________________________________________________   Date  ________________
            /     /  	  ■	  ■	  October  November  December                                                                               _______________________________________________________________________________  /      /  /      //      /  _______________________________________________________________________________

                                                                                                                                                     Superviso
                                                                                                                                                       Supervisor’s Signature   ________________________________________________________________   Date  ________________Supervisor’s Signature   ________________________________________________________________   Date  ________________r’s Signature   ________________________________________________________________   Date  ________________
                                                                                                                                                         /     /
            /     /  	  ■	  ■     S   M   T   1   W  2   T  3   F  4   S  5   Total     S   M   T   W   T   F  1   S  2   Total       S   1   M  2   T   3   W  4   T   5   F   6   S   7   Total  Employee Employee’s Signature    ________________________________________________   Date ______________’s Signature    ________________________________________________   Date ______________ /     /  /      /  /      //      /  Comments ___________________________________________
                                                                                                                                                                                                                   /     /
                                                                                                                                                                                /      /
                                                                                                                                                                                  /      //      /
                                                                                                                                                                                                  Employee’s Signature    ________________________________________________   Date ______________
                                                                                                                                                       Authorized Approval   ________________________________________________________________   Date  ________________Authorized Approval   ________________________________________________________________   Date  ________________d Approval   ________________________________________________________________   Date  ________________
                                                                                                                                                     Authorize
                                                                                                                                                           /     /
                                                                                                                                          Employee’s Signature    ________________________________________________   Date ______________
                                                                                                                                                         /     /
                                                                                                                                                                                                                   /     /
                This Attendance Calendar™ is to be retained in the employee’s personnel file at the end of each year.                   Superviso Supervisor’s Signature   ________________________________________________   Date ______________r’s Signature   ________________________________________________   Date ______________ /     /  Supervisor’s Signature   ________________________________________________   Date ______________  /         /
                                                                                                                                                                                                        Supervisor/Designated Manager Signature ____________________________________________________________   Date ___________________
                                       4
                                                                                                                                                       ■ Approved   ■ Denied   Comments:  __________________________________________________________________________
                                                                                                                                                       ■ Approved   ■ Denied   Comments:  __________________________________________________________________________ed   ■ Denied   Comments:  __________________________________________________________________________
                                      3
                            6


                                                                                                                                                     ■ Approv
                              8
                             7
                                                                                                                                                           /     /
                               9
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                                10
                                   12
                This product is designed to provide accurate and authoritative information. However, it is not a substitute for legal advice and does not provide legal opinions on any specific facts or services.   5   6   7   8   9      8   9   10   11   12   13   14   A4200W5015 – Fiscal Year (July-June)*  Authorize Authorized Approval    ________________________________________________   Date ______________d Approval    ________________________________________________   Date ______
                                                                                                                                          Supervisor’s Signature   ________________________________________________   Date ______________
                                                                                                                                                         /     /
                                                                                                                                                                                                                   /     /
                The information is provided with the understanding that any person or entity involved in creating, producing or distributing this product is not liable for any damages arising out of the use    /     /  Authorized Approval    ________________________________________________   Date ______________
                                                                                                                                          Authorized Approval    ________________________________________________   Date ______________
                                                                                                                                           ■ Denied __________________________________________________________________
                or inability to use this product. You are urged to consult an attorney concerning your particular situation and any specific questions or concerns you may have.     10   11   12   13   14   15   16      15   16   17   18   19   20   21   ■ Approved  ■ Approved   ■ Denied __________________________________________________________________ This product is designed to provide accurate and authoritative information. However, it is not a substitute for legal advice and does
                                                                                                                                                                                                     ■ Denied __________________________________________________________________
                                                                                                                                                          This product is desig

                           13
                                17
                                 18
                               16
                            14
                              15
                                   19
                                                                                                                                                                                                  ■ Approved
                                                                                                                                                                                                             legal opinions on any specific facts or services. The information is provided with the understanding that any person or entity involved in creating,
                                                                                                                                                          The information i
                                                                                                                                             ■ Denied __________________________________________________________________
                                                                                                                                                                                                       PM
                                                                                                                                                                                                             producing or distributing this product is not liable for any damages arising out of the use or inability to use this product. You are urged to consult
           ©2018 ComplyRight, Inc.   Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.  ■ Approved  This product is desig This product is designed to provide accurate and authoritative information. However, it is not a substitute for legal advice and does not provide legal opinions ned to provide accurate and authoritative information. However, it is not a substitute for legal advice and does not provide legal
                                                                                                                                                          or inability to use t
                                                                                                                                                            or inability to use this product. You are urged to consult an attorney concerning your particular situation and any specific questions or concerns you may have.or inability to use this product. You are urged to consult an attorney concerning your particular situation and any specific questions or concerns you may have.his product.
           A4000_2019  Two easy ways to reorder: hrdirect.com • 800-999-9111     20   21   22   23   24   25   26      17   18   19   20   21   22   23      22   23   24   25   26   27   28   A43005015 – Academic Year (August-July)*  on any specific fac on any specific facts or services. The information is provided with the understanding that any person or entity involved in creating, producing or distributing ts or services. The information is provided with the understanding that an
                                                                                                                                                                                                             an attorney concerning your particular situation and any specific questions or concerns you may have.
                                                                                                                                                                                                        ©2016 ComplyRight, Inc.
                                                                                                                                                                                                      on any specific facts or services. The information is provided with the understanding that any person or entity involved in creating, producing or distributing
                                                                                                                                            this product is no
                                                                                                                                              this product is not liable for any damages arising out of the use or inability to use this product. You are urged to consult an attorney concerning your t liable for any damages arising out of the use or inability to use this product. You are urged to consult an attorney concerning your
                                                                                                                                                          Important note: Thi
                                                                                                                                                                                                        A2250
                                                                                                                                                                                                             Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.
                                                                                                                                                                                                      this product is not liable for any damages arising out of the use or inability to use this product. You are urged to consult an attorney concerning your
                                                                                                                                              This product is designed to provide accurate and authoritative information. However, it is not a substitute for legal advice and does not provide legal opinions
                                                                                                                                                       A0037_2020  ©2019 ComplyRight, Inc. Two easy ways to reorder: hrdirect.com • 800-999-9111A0037_2020  ©2019 ComplyRight, Inc. Two easy ways to reorder: hrdirect.com • 800-999-91112019 ComplyRight, Inc. Two easy ways to reorder: hrdirect.com • 800-999-9111
                                                                                                                                                    A0037_2020  ©
                                                                                                                                              particular situation and any specific questions or concerns you may have.n and any specific questions or concerns you may have.
                                                                                                                                              on any specific facts or services. The information is provided with the understanding that any person or entity involved in creating, producing or distributing
                                                                                                                                            particular situatio
                                                                                                                                              this product is not liable for any damages arising out of the use or inability to use this product. You are urged to consult an attorney concerning your
                                                                                                                                                                                                      particular situation and any specific questions or concerns you may have.
                              27   28   29   30   31     24   25   26   27   28   29   30     29   30   31                             A0045_2020   A0045_2020 ©2019 ComplyRight, Inc.  Important note: Thi Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.s is approved for use by the purchaser only. This form may not be shared publicly or with third parties.  ©2016 ComplyRight, Inc.  This product is designed to pr
                                                                                                                                                                                                     provide legal opinions on any specific facts or services. The information is provided with the understanding that any person or entity
                                                                                                                                                                                                      Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.
                                                                                                                                              particular situation and any specific questions or concerns you may have.
                                                                                                                                                                                                     involved in creating, producing or distributing this product is not liable for any damages arising out of the use or inability to use this
                                                                                                                                              Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.
                                                                                                                                           ©2019 ComplyRight, Inc. Two easy ways to reorder: hrdirect.com • 800-999-9111Two easy ways to reorder: hrdirect.com • 800-999-9111
                                                                                                                                                                                                   ©2019 ComplyRight, Inc. Two easy ways to reorder: hrdirect.com • 800-999-9111
                                     September 2019                                                                                       A0045_2020   ©2019 ComplyRight, Inc. Two easy ways to reorder: hrdirect.com • 800-999-9111  A2151  Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.
                                                                                                                                                                                                     product. You are urged to consult an attorney concerning your particular situation and any specific questions or concerns you may have.
                                                                                                                                                                                                  A0045_2020
                            T   W   T   F   S   Total     S   M   T   W   T   F   S   Total                                                                                                           A0808-AbsncRprt.indd   1       9/28/16   12:51 PM
                           Notes _____________________________________________  Notes _____________________________________________  Notes _____________________________________________  Price per pkg/50. Size: 8½” x 11”.  Standard 2-Part   Standard 3-Part
                                                                                                                                        Compact                                                 Compact
                           __________________________________________________  __________________________________________________  __________________________________________________
                                                                                                                                                                                Carbonless                                      Carbonless
              Notes _____________________________________________  Notes _____________________________________________  Notes _____________________________________________  Time Off Request and Approval  Absence Report
              __________________________________________________  __________________________________________________  __________________________________________________
              __________________________________________________  __________________________________________________  __________________________________________________
              October 2019  November 2019  December 2019
                 S   M   T   W   T   F   S   Total     S   M   T   W   T   F   S   Total     S   M   T   W   T   F   S   Total
                                                                                                                                     Requesting time off has never been this easy! The calendar format   Use this form to simplify absence reporting and enforce
                                                                                                                                     allows employees to clearly request dates in the upcoming months   company attendance policies. Provides 20 specific reasons
                               Attendance Calendar™
                               Absence Codes
                               A – Additional Hours  J  – Jury Duty  T  – Tardy  Name: ______________________________________________________

                                                   Middle
                                             Last
                                                First
                               B  – Bereavement  K – Termination  U – Unexcused
                                                   /            /
                               C  – Partial Hours Worked  L  – Leave of Absence  V – Vacation  Department: _______________________  Hire Date:________________
                               D – Doctor’s Appointment
                                   LE– Left Early Notes _____________________________________________
              Notes _____________________________________________  Notes _____________________________________________  X  – Illness in the Family  Position:  ____________________________ Phone #:________________  and also highlights legal public holidays. Supervisors can see the   for absences and space to add your own reasons.
                                                  (          )
                                   LO– Layoff
                               E  – Excused
                                      Y  – Floating Holiday
              __________________________________________________  __________________________________________________  __________________________________________________
                                   M – Military Leave
                               F  – FMLA
                                      Z  – Last Day Worked
              __________________________________________________  __________________________________________________  __–  _______________________  Employee/Payroll #: ___________________________________________
                               G – Injury on Job
                                   P  – Personal __________________________________________________
                                   N – No Call/No Show
                               H – Holiday  __–  _______________________  Vacation Time: _____________________  Sick Time:________________
                               I  – Illness - Self
                                        = Legal Public Holidays
              January 2020  February 2020  S  – Suspension March 2020
                 S   M   T   W   T   F   S   Total     S   M   T   W     T  January F  M   T   S  W   Total T   F     S  S   Total M     February T  M   T  W   W   T  T   F  F   S   Total S     Total March S   M   T   W   T   F   S   Total  bigger picture and confidently approve time off with a 12-month
                               S
                                       S
                                 1   2   3   4   5   1   2   1   2                                                                                                                              ■  Multi-part forms provide copies for the employee,
                                  6   7   8   9   10   11   12      3   4   5   6   7   8   9      3   4   5   6   7   8   9
                                  13   14   15   16   17   18   19      10   11   12   13   14   15   16      10   11   12   13   14   15   16   overview right at their fingertips.
                                  20   21   22   23   24   25   26      17   18   19   20   21   22   23      17   18   19   20   21   22   23                                                    payroll and/or HR
                                  27   28   29   30   31     24   25   26   27   28     24   25   26   27   28   29   30
                                                 31
                               Notes _____________________________________________  Notes _____________________________________________  Notes _____________________________________________
                               __________________________________________________  __________________________________________________  __________________________________________________
                               __________________________________________________  __________________________________________________  __________________________________________________  ■  Two-part carbonless form, one copy for employee,
                               April   May    June
                                          T

                                 T
                               S
                                     S
                                       S
                                        M
                                         T
              Notes _____________________________________________  Notes _____________________________________________ T  4   F  Notes _____________________________________________ S   M   T   W   T   F   S  1   Total  ■  Includes a ComplyRight guide to help you manage
                                M
                                          W
                                     Total

                                             Total
                                           F
                                  W
                                            S

                                            3
                                            4
                                1
                                  3
                                          1
                                     6
                                           2
                                 2
              __________________________________________________  __________________________________________________  5  __________________________________________________
                                7

                                     13
                                           9
                                       5
                                            11
                                  10
                                        6

                                 9
                                          8

                                8
              __________________________________________________  __________________________________________________ 11   12 __________________________________________________ 2   3   4   5   6   7   8   another for manager or HR department
                                           10
                                         7

                                     20
              April 2020   May 2020     14   15   16   17   18   19  June 2020 12   13   14   15   16   17   18      9   10   11   12   13   14   15                                              employee absences the right way
                 S   M   T   W   T   F   S   Total     S   M   T   W    T  21   22  F   23  S   24  Total 25   26    27  S     M   19  T  20   21  W   22  T  23   24  F   25  S    Total 16   17   18   19   20   21   22
                                  28   29   30     26   27   28   29   30   31     23   24   25   26   27   28   29
                                                 30
                               Notes _____________________________________________  Notes _____________________________________________  Notes _____________________________________________  ■  Employees mark their time-off requests by
                               __________________________________________________  __________________________________________________  __________________________________________________
                               __________________________________________________  __________________________________________________  __________________________________________________
                               July    August  September
                                  S   M   T   W   T   F   S   Total     S   M   T   W   T   F   S   Total     S   M   T   W   T   F   S   Total                                                 A2151 – Compact 2-Part Carbonless
                                1   2   3   4   5   6   1   2   3      1   2   3   4   5   6   7
                                  7   8   9   10   11   12   13      4   5   6   7   8   9   10      8   9   10   11   12   13   14    indicating the requested dates of the year
                                  14   15   16   17   18   19   20      11   12   13   14   15   16   17      15   16   17   18   19   20   21
                                  21   22   23   24   25   26   27      18   19   20   21   22   23   24      22   23   24   25   26   27   28                                                  A2250 – Standard 3-Part Carbonless
                                  28   29   30   31     25   26   27   28   29   30   31     29   30
              Notes _____________________________________________  Notes _____________________________________________  Notes _____________________________________________  ■  Includes a ComplyRight guide to help you
              __________________________________________________  __________________________________________________  __________________________________________________
                               Notes _____________________________________________  Notes _____________________________________________  Notes _____________________________________________
                               __________________________________________________  __________________________________________________  __________________________________________________       Price per pkg/50. Standard: 8½" x 11", Compact: 5½" x 8½".
                               October  November  December
                                  S   M   T   W   T   F   S   Total     S   M   T   W   T   F   S   Total     S   M   T   W   T   F   S   Total  manage time off requests the right way
                                 1   2   3   4   5   1   2      1   2   3   4   5   6   7
                                  6   7   8   9   10   11   12      3   4   5   6   7   8   9      8   9   10   11   12   13   14
                                  13   14   15   16   17   18   19      10   11   12   13   14   15   16      15   16   17   18   19   20   21
                                  20   21   22   23   24   25   26      17   18   19   20   21   22   23      22   23   24   25   26   27   28
                                  27   28   29   30   31     24   25   26   27   28   29   30     29   30   31                       A0030 – Standard 2-Part Carbonless*
                               Notes _____________________________________________  Notes _____________________________________________  Notes _____________________________________________
                                                                                                                                     A0037 – Standard*
                               __________________________________________________  __________________________________________________  __________________________________________________
                                                                                                                                     A0045 – Compact 2-Part Carbonless*                                 Request for Time Off
           Attendance Calendar  Card Kit                        Attendance Calendar  Folder                                                                                                             Name ______________________________  Date ____________________
                                                                                                                                                                                                         Request for Time Off
                                       ™
                                                                                           ™
                                                                                                                                     Price per pkg/50. Standard: 8½" x 11", Compact: 5½" x 8½".
                                                                                                                                                                                                         Name ______________________________  Date ____________________
                                                                                                                                                                                                        Department  __________________________  Status: ■  Full time    ■  Part time
                                                                                                                                                                                                         Department  __________________________  Status: ■  Full time    ■  Part time
           The complete attendance-tracking solution for front-line   One simple solution pulls double duty to track and manage attendance.   These dated products are reproduced yearly.               ID number ______________________  Hire/seniority date   _______________
                                                                                                                                                                                                         ID number ______________________  Hire/seniority date   _______________
                                                                                                                                                                                                        Supervisor’s name  ______________________________________________
                                                                                                                                                                                                         Supervisor’s name  ______________________________________________
           managers to document and handle all attendance issues    On the outside, mark attendance in the same easy-to-use format as                                                                   Title _______________________________________________________
                                                                                                                                                                                                         Title _______________________________________________________
                                                                                                                                                                                                        Requested date(s) off  ____________________________________________
                                                                                                                                                                                                         Requested date(s) off  ____________________________________________
           quickly and thoroughly.                              the popular Attendance Calendar card. On the inside, store documents   Request for Time Off                                             Time of departure  ______________________________________________
                                                                                                                                                                                                         Time of departure  ______________________________________________
                                                                                                                                                                                                        Time of return   ________________________________________________
                                                                                                                                                                                                         Time of return   ________________________________________________
           Includes:                                            related to attendance.                                                                                                                  Reason for request ______________________________________________
                                                                                                                                                                                                         Reason for request ______________________________________________
                                                                                                                                                                                                        __________________________________________________________
                                                                                                                                                                                                         __________________________________________________________
           ■  Attendance Calendar™ Cards                        ■   Dual storage pockets include space to record                     Manage time off requests to avoid conflicts and give employees a written record.   __________________________________________________________
                                                                                                                                                                                                         __________________________________________________________
                                                                                                                                                                                                        Signature of employee  ___________________________________________
                                                                                                                                                                                                         Signature of employee  ___________________________________________
           ■  ComplyRight™ Attendance Advisor                     reprimands and warning notices                                     Establish a fair and efficient process with documentation for reference.  Time off:   ■  Approved    ■  Denied
                                                                                                                                                                                                         Time off:   ■  Approved    ■  Denied
                                                                                                                                                                                                        Request approved/denied by: _______________________________________
                                                                                                                                                                                                         Request approved/denied by: _______________________________________
                                                                                                                                                                                                        Title _______________________________________________________
                                                                                                                                                                                                         Title _______________________________________________________
           ■  1½” Binder                                                                                                             ■  Two-part form provides copies for the employee and manager      Reason for approval or denial _______________________________________
                                                                                                                                                                                                         Reason for approval or denial _______________________________________
                                                                ■   Includes a ComplyRight guide to help you                                                                                            __________________________________________________________
                                                                                                                                                                                                         __________________________________________________________
           ■  Alphabetical Tabbed Dividers                        manage attendance the right way                                    ■  Includes a ComplyRight guide to help you manage                 __________________________________________________________
                                                                                                                                                                                                         __________________________________________________________
                                                                                                                                                                                                        For office use only.
                                                                                                                                                                                                         For office use only.
                                                                                                                                                                                                         ■  Paid absence     ■  Unpaid absence
           A1411W16PK25 – 25-Card Kit*                          Item No. A3050*                                                        employee absences the right way                                  ■  Paid absence     ■  Unpaid absence
                                                                                                                                                                                                        If paid, deduct from:  ■  Personal     ■  Vacation     ■  Sick     ■  Other
                                                                                                                                                                                                         If paid, deduct from:  ■  Personal     ■  Vacation     ■  Sick     ■  Other
                                                                                                                                                                                                                  Previous Occurrences     ■  Yes   ■  No
           A1411W16PK50 – 50-Card Kit*                          Price per pkg/25. Size: 9 3 / 8" x 11/ 4".                           Item No. A2203                                                     ■  Excused     ■  Unexcused   Previous Occurrences     ■  Yes   ■  No
                                                                                                                                                                                                         ■  Excused     ■  Unexcused
                                                                                 3
                                                                                                                                                                                                         ______________________________________  ___________________
                                                                                                                                                                                                        ______________________________________  ___________________
                                                                                                                                                                                                                       Title
                                                                                                                                                                                                         Supervisor’s signature
                                                                                                                                                                                                                       Title
           A1411W16PK100 – 100-Card Kit*                                                                                             Price per pkg/50. Size: 5½" x 8½".                                 Supervisor’s signature   This product is designed to provide accurate and authoritative information. However, it is not a substitute for legal advice and does not
                                                                                                                                                                                                            This product is designed to provide accurate and authoritative information. However, it is not a substitute for legal advice and does not
                                                                                                                                                                                                            provide legal opinions on any specific facts or services. The information is provided with the understanding that any person or entity
                                                                                                                                                                                                           involved in creating, producing or distributing this product is not liable for any damages arising out of the use or inability to use this
                                                                                                                                                                                                            involved in creating, producing or distributing this product is not liable for any damages arising out of the use or inability to use this
                                                                                                                                                                                                       ©2016 ComplyRight, Inc.  provide legal opinions on any specific facts or services. The information is provided with the understanding that any person or entity
                                                                                                                                                                                                            product. You are urged to consult an attorney concerning your particular situation and any specific questions or concerns you may have.
                                                                                                                                                                                                       ©2016 ComplyRight, Inc. product. You are urged to consult an attorney concerning your particular situation and any specific questions or concerns you may have.
                                                                                                                                                                                                       A2203
                                                                                                                                                                                                       A2203
                                                                                                                                                                                                            Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.
           A1411W16PK200 – 200-Card Kit*                       * These items are dated products reproduced yearly.
                                                                                                                                                                                                           Important note: This is approved for use by the purchaser only. This form may not be shared publicly or with third parties.
        14                                   Employee Management Forms                                                                                                 Employee Management Forms                                           15
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