Classifications and Corresponding Department Working Titles. The following table is for informational purposes only. It neither adds to nor detracts from the collective bargaining agreement or state law, and should be disregarded for contract administration/interpretation purposes. Band/Zone Miami University Title Department Department Working Title EI Building & Grounds Assistant HDRBS Facility Service Specialist PFD Building Service Worker PFD Sr. Building Service Worker PFD Asst. Groundskeeper Food Service Assistant HDRBS Dining Service Specialist HDRBS Assistant Cook HDRBS Assistant Xxxxx Materials Handling Assistance PFD Recycling Center Service Worker PFD Sr. Recycling Center Service Worker PFD Master Recycling Center Service Worker PFD Trucking Services Laborer (temp) Police Services Assistant Sales Clerk HDRBS Sales Clerk Supplies Assistant HDRBS Dining Inventory Specialist E2 Maintenance/Repair Tech. PFD Asbestos Worker PFD Maintenance Repair Worker HDRBS Facility & Repair Specialist PFD Sr. Maintenance Repair Worker PFD Building Repair Worker PFD Building Services Repair Tech. PFD Sr. Building Services Repair Tech. Sr. Building & Grounds Asst. PFD Bldg. Oper. Spec. – Middletown Campus PFD Bldg. Oper. Spec. – Xxxxxxxx Campus PFD Asst. Fac. Oper. Spec. / Bldgs. PFD Fac. Operations Spec. / Bldgs. HDRBS Facility & Maintenance Technician Sr. Food Service Assistant HDRBS Xxxxx HDRBS Cook HDRBS Master Cook HDRBS Senior Cook HDRBS Senior Xxxxx Transportation / Delivery Asst. PFD Asst. Mover PFD Mover HDRBS Transportation Assistant F1 Building & Grounds Coordinator HDRBS Facilities Supervisor (Dining Locations) PFD HC Customer Service Coord. PFD Building Services Coord. PFD Sr/ Building Services Coord. PFD Master Building Services Coord. Building & Grounds Technician PFD Carpet Spc. PFD Journeyman Cleaning Tech. PFD Groundskeeper PFD Sr. Groundskeeper PFD/HDRBS Master Building Service Worker PFD Asst. Fac. Oper. Spec. / Grounds PFD Fac. Oper. Spec. / Grounds PFD Sr Facility Operations Spec / Grounds PFD Master Pac. Oper. Spec. / Bldgs. Food Service Operations Coodr. HDRBS Dining Services Production Leader HDRBS Dining Services Supervisor Materials Handling Technician PFD Stores Specialist PFD Sr. Stores Specialist PFD Master Stores Specialist PFD Recycling Center Service Specialist PFD Sr. Recycling Center Service Worker Sr. Maintenance / Repair Tech PFD Maintenance Repair Supervisor PFD Sr. Maint. Repair Tech for Spec Fac PFD Area Shop Technicians PFD Sr. Area Shop Technicians PFD Utility Systems Maintenance Asst. Trades Asst. PFD Asst. Xxxxxxxxx PFD Asst. Auto Tech PFD Asst. Electrician PFD Asst. Plumber PFD Asst. Air Quality Tech. PFD Asst. Air Quality Tech. PM PFD Asst. Electronic Tech PFD Asst. Locksmith PFD Asst. Concrete Xxxxx PFD Asst. Sheet Metal Worker PFD Asst. Sign Crafter PFD Asst. Tile Setter PFD Asst. Welder PFD Asst. Xxxxx PFD Asst. Small Appl. & Equip. Repair Spec. PFD Asst. AQT-BAS PFD Asst. Painter / Plasterer PFD Asst. Elevator Mech. PFD Asst. Roofer Transportation / Delivery Spec. PFD Equipment Operator PFD Sr. Equipment Operator PFD Master Equipment Operator PFD Master Mover F2 Maintenance / Repair Specialist PFD Special Facilities Supervisor PFD Sr. Asbestos Worker PFD Maintenance Inspector PFD Maintenance Repair Supervisor Spec. Fac. G1 Building & Grounds Specialist PFD Master Groundskeeper PFD Master Fac Oper. Spec. / Grounds PFD Tree Trimmer PFD Master Cleaning Restoration Tech. PFD Pest / Animal Control Tech. PFD Sr. Hardscape Spec. PFD Asst. Horticulturist Building & Grounds Supervisor PFD Sr. Maintenance / Repair Spec. PFD HC & MC Sr. Maint. Repair Spec. PFD HC & MC Master Main. Repair Spec. PFD Theater Technical Specialist – Spec. Fac. HDRBS Sr. Facility & Repair Technician PFD Master Maintenance Inspector Trades Specialist PFD Plumber PFD Electrician PFD Roofer PFD Concrete / Xxxxx PFD Electronic Tech. PFD Painter / Plasterer PFD Xxxxxxxxx PFD Locksmith PFD Sheet Metal Worker PFD Xxxxx PFD Air Quality Tech. PFD Sign Crafter PFD Auto Tech PFD AQT-BAS PFD Utility Systems Specialist PFD Sr. Auto Tech PFD Tile Setter PFD Small Appl. & Equip. Repair Spec. PFD Elevator Mechanic PFD Welder Utility Systems Maint. Spec. PFD G2 Maintenance Engineer PFD Stationary Engineer PFD Sr. Stationary Engineer PFD Master Stationary Engineer Master Trades PFD Master Sign Crafter PFD Master Electrician PFD Master Plumber PFD Master Welder PFD Master Utility Systems Spec. PFD Master Xxxxxxxxx PFD Master Concrete Xxxxx PFD Master Auto Tech PFD Master Air Quality Tech. PFD Master Sheet Metal Worker PFD Master Sm. Appl. & Equip. Repair Spec. PFD Master Painter / Plasterer PFD Master Electronics Tech. PFD Master Roofer PFD Master Xxxxx PFD Master Locksmith PFD Master Title Setter PFD Master AQT-BAS PFD Master Elevator Mech. PFD Fire Alarm Technician Sr. Building & Grounds Spec. PFD Arborist PFD Master Pest / Animal Control Tech. Stationary Engineer PFD Stationary Engineer PFD Sr. Stationary Engineer PFD Master Stationary Engineer Classifications and Corresponding Job Families Job Family Classification / Job Title Pay Zone Building and Grounds Building and Grounds Assistant E1 Building and Grounds Sr. Building and Grounds Asst. E2 Building and Grounds Building and Grounds Tech F1 Building and Grounds Building and Grounds Coord. F1 Building and Grounds Building and Grounds Spec. G1 Building and Grounds Building and Grounds Supv. G1 Building and Grounds Sr. Building and Grounds Spec. G2 Food Service Food Service Assistant E1 Food Service Sr. Food Service Assistant E2 Food Service Food Service Operations Coord F1 Maintenance Maintenance / Repair Technician E2 Maintenance Sr. Maintenance / Repair Techn. F1 Maintenance Maintenance / Repair Specialist F2 Maintenance Sr. Maintenance / Repair Spec. G1 Materials Handling Materials Handling Assistant E1 Materials Handling Materials Handling Technician F1 Postal Services Postal Services Assistant E1 Sales Sales Clerk E1 Stationary Engineer Utility Systems Maint. Spec. G1 Stationary Engineer Stationary Engineer G2 Supplies Supplies Assistant E1 Trades Trades Assistant F1 Trades Trades Specialist G1 Trades Master Trades Specialist G2 Transportation Transportation / Deliver Asst. E2 Transportation Transportation / Delivery Spec. F1 ADDENDUM 2 Miami University DISPUTE RESOLUTION FORM Most employment issues can be solved directly between an employee and their supervisor. Ifan issue arises, you may present your issue by utilizing this form and submitting it to your immediate supervisor, your department head or the Chief Human Resources Officer as you see fit. Within ten (10) working days of submission of this form, the University will convene a meeting with you and any others that may be beneficial to the process to discuss the issue. You may initiate the procedure at any level of authority, or you may advance the issue to the next higher level of authority up to the Chief Human Resources Officer if you are dissatisfied with the University's response to your issue. The issue resolution process shall be completed within thirty (30) days of initiation of the process by an employee. For more details on the issue resolution process, employees covered by the AFSCME collective bargaining agreement are to refer to the contract, and SATSS employees are to refer to the SATSS handbook. Employee Name Date Submitted Campus Mail Address Employee Position Email Address Department Employee Phone Number Presented to* _____ Issue: Please describe in detail your issue, including; dates, witnesses, location, desired outcome, etc. as appro- priate. Use the back of this form or attach additional pages as necessary. Date Issue Resolution Meeting Held Names of Those in Attendance • A copy of this form must be sent to the Chief Human Resources Officer prior to any issue resolution meeting being held. • Supervisor or Department Head holding the meeting must submit a copy of this form along with the outcome of the meeting to the Chief Human Resources Officer. ADDENDUM 3 Waiver of Union Representation I, understand that I am entitled to a union representative to represent me at this pre-disciplinary hearing. However, Ido not want a union representative. Print Name Signature Date ADDENDUM 4 Sick Leave Form Mia mi University Leave Request/Approval Form for Classified Staff Employee Name (Type or Print Please) Date Submitted _ _ _ _ yes or no Department Division or Section, if applicable Requesting Preapproved Note: This form is to be used for all leave requests (pre-approved leave and non- pre-approved leave) except HDRBS staff requesting leave submitted through the annual "Request for Time Off' process (formerly known as the HDRBS Summer Vacation Schedule). I would like to request the following time off: Begin Date: _/ _/ From: _ _: am/pm MM/DD/YR End Date: / / To: _ : am/pm MM/DD/YR Total # of hours Requested: Please select the space in front of the type of leave you are requesting: Vacation Comp Personal Leave _Sick Military Jury _ __Parental Leave Other: Note: If sick leave is used please select the appropriate type below: Doctor or Dental Appointment Personal illness or injury Serious illness of immediate family member Death of family member: on Relationship Date of Death Please contact the Department of Human Resources concerning application for leave through the Family Medical and Leave Act (FMLA) or Workers Compensation (BWC) Leave Category: Select which of the three leave categories you are using: Approved FMLA for Self Approved FMLA for Family Workers Comp Select the type of time you are using: Sick Vacation Personal Leave Unpaid Leave Parental Leave (FMLA Only) Comp Time (BWC Only) Employee’s signature: (TO BE COMPLETED BY SUPERVISORWITHIN 24 -48 HOURS, IF POSSIBLE) Request is: Pre-approved (or) Not Pre-approved Approved (for pay) (or) Not approved (for pay) (check one) (check one) If leave is not approved, please state reason: Supervisor's signature: Today’s date: Note: Application for sick leave with intent to defraud may result in discipline up to and including termination and refund of salary and wage paid for the period of time in question. Sick leave may be used for the following reasons: • Illness or injury of the employee or a member of the employee's immediate family, (in the case of a member of the immediate family not living with the employee, the appointing authority may credit sick leave when it appears justified; but such cases should be carefully investigated • Death of a member of the employee's immediate family (not to exceed five work days) • Medical, dental, or optical examination or treatment of the employee or a member of the immediate family • When, through exposure to contagious disease, either the health of the employee would be jeopardized or the employee's presence on the job would jeopardize the health of others • Pregnancy and/or childbirth related conditions
Appears in 1 contract
Samples: Agreement
Classifications and Corresponding Department Working Titles. The following table is for informational purposes only. It neither adds to nor detracts from the collective bargaining agreement or state law, and should be disregarded for contract administration/interpretation purposes. Band/Zone Miami University Title Department Department Working Title EI Building & Grounds Assistant HDRBS Facility Service Specialist PFD Building Service Worker PFD Sr. Building Service Worker PFD Asst. Groundskeeper Food Service Assistant HDRBS Dining Service Specialist HDRBS Assistant Cook Xxxx HDRBS Assistant Xxxxx Materials Handling Assistance PFD Recycling Center Service Worker PFD Sr. Recycling Center Service Worker PFD Master Recycling Center Service Worker PFD Trucking Services Laborer (temp) Police Services Assistant Sales Clerk HDRBS Sales Clerk Supplies Assistant HDRBS Dining Inventory Specialist E2 Maintenance/Repair Tech. PFD Asbestos Worker PFD Maintenance Repair Worker HDRBS Facility & Repair Specialist PFD Sr. Maintenance Repair Worker PFD Building Repair Worker PFD Building Services Repair Tech. PFD Sr. Building Services Repair Tech. Sr. Building & Grounds Asst. PFD Bldg. Oper. Spec. – Middletown Campus PFD Bldg. Oper. Spec. – Xxxxxxxx Campus PFD Asst. Fac. Oper. Spec. / Bldgs. PFD Fac. Operations Spec. / Bldgs. HDRBS Facility & Maintenance Technician Sr. Food Service Assistant HDRBS Xxxxx HDRBS Cook Xxxx HDRBS Master Cook Xxxx HDRBS Senior Cook Xxxx HDRBS Senior Xxxxx Transportation / Delivery Asst. PFD Asst. Mover PFD Mover HDRBS Transportation Assistant F1 Building & Grounds Coordinator HDRBS Facilities Supervisor (Dining Locations) PFD HC Customer Service Coord. PFD Building Services Coord. PFD Sr/ Building Services Coord. PFD Master Building Services Coord. Building & Grounds Technician PFD Carpet Spc. PFD Journeyman Cleaning Tech. PFD Groundskeeper PFD Sr. Groundskeeper PFD/HDRBS Master Building Service Worker PFD Asst. Fac. Oper. Spec. / Grounds PFD Fac. Oper. Spec. / Grounds PFD Sr Facility Operations Spec / Grounds PFD Master Pac. Oper. Spec. / Bldgs. Food Service Operations Coodr. HDRBS Dining Services Production Leader HDRBS Dining Services Supervisor Materials Handling Technician PFD Stores Specialist PFD Sr. Stores Specialist PFD Master Stores Specialist PFD Recycling Center Service Specialist PFD Sr. Recycling Center Service Worker Sr. Maintenance / Repair Tech PFD Maintenance Repair Supervisor PFD Sr. Maint. Repair Tech for Spec Fac PFD Area Shop Technicians PFD Sr. Area Shop Technicians PFD Utility Systems Maintenance Asst. Trades Asst. PFD Asst. Xxxxxxxxx PFD Asst. Auto Tech PFD Asst. Electrician PFD Asst. Plumber PFD Asst. Air Quality Tech. PFD Asst. Air Quality Tech. PM PFD Asst. Electronic Tech PFD Asst. Locksmith PFD Asst. Concrete Xxxxx PFD Asst. Sheet Metal Worker PFD Asst. Sign Crafter PFD Asst. Tile Setter PFD Asst. Welder PFD Asst. Xxxxx PFD Asst. Small Appl. & Equip. Repair Spec. PFD Asst. AQT-BAS PFD Asst. Painter / Plasterer PFD Asst. Elevator Mech. PFD Asst. Roofer Transportation / Delivery Spec. PFD Equipment Operator PFD Sr. Equipment Operator PFD Master Equipment Operator PFD Master Mover F2 Maintenance / Repair Specialist PFD Special Facilities Supervisor PFD Sr. Asbestos Worker PFD Maintenance Inspector PFD Maintenance Repair Supervisor Spec. Fac. G1 Building & Grounds Specialist PFD Master Groundskeeper PFD Master Fac Oper. Spec. / Grounds PFD Tree Trimmer PFD Master Cleaning Restoration Tech. PFD Pest / Animal Control Tech. PFD Sr. Hardscape Spec. PFD Asst. Horticulturist Building & Grounds Supervisor PFD Sr. Maintenance / Repair Spec. PFD HC & MC Sr. Maint. Repair Spec. PFD HC & MC Master Main. Repair Spec. PFD Theater Technical Specialist – Spec. Fac. HDRBS Sr. Facility & Repair Technician PFD Master Maintenance Inspector Trades Specialist PFD Plumber PFD Electrician PFD Roofer PFD Concrete / Xxxxx PFD Electronic Tech. PFD Painter / Plasterer PFD Xxxxxxxxx PFD Locksmith PFD Sheet Metal Worker PFD Xxxxx PFD Air Quality Tech. PFD Sign Crafter PFD Auto Tech PFD AQT-BAS PFD Utility Systems Specialist PFD Sr. Auto Tech PFD Tile Setter PFD Small Appl. & Equip. Repair Spec. PFD Elevator Mechanic PFD Welder Utility Systems Maint. Spec. PFD G2 Maintenance Engineer PFD Stationary Engineer PFD Sr. Stationary Engineer PFD Master Stationary Engineer Master Trades PFD Master Sign Crafter PFD Master Electrician PFD Master Plumber PFD Master Welder PFD Master Utility Systems Spec. PFD Master Xxxxxxxxx PFD Master Concrete Xxxxx PFD Master Auto Tech PFD Master Air Quality Tech. PFD Master Sheet Metal Worker PFD Master Sm. Appl. & Equip. Repair Spec. PFD Master Painter / Plasterer PFD Master Electronics Tech. PFD Master Roofer PFD Master Xxxxx PFD Master Locksmith PFD Master Title Setter PFD Master AQT-BAS PFD Master Elevator Mech. PFD Fire Alarm Technician Sr. Building & Grounds Spec. PFD Arborist PFD Master Pest / Animal Control Tech. Stationary Engineer PFD Stationary Engineer PFD Sr. Stationary Engineer PFD Master Stationary Engineer Classifications and Corresponding Job Families Job Family Classification / Job Title Pay Zone Building and Grounds Building and Grounds Assistant E1 Building and Grounds Sr. Building and Grounds Asst. E2 Building and Grounds Building and Grounds Tech F1 Building and Grounds Building and Grounds Coord. F1 Building and Grounds Building and Grounds Spec. G1 Building and Grounds Building and Grounds Supv. G1 Building and Grounds Sr. Building and Grounds Spec. G2 Food Service Food Service Assistant E1 Food Service Sr. Food Service Assistant E2 Food Service Food Service Operations Coord F1 Maintenance Maintenance / Repair Technician E2 Maintenance Sr. Maintenance / Repair Techn. F1 Maintenance Maintenance / Repair Specialist F2 Maintenance Sr. Maintenance / Repair Spec. G1 Materials Handling Materials Handling Assistant E1 Materials Handling Materials Handling Technician F1 Postal Services Postal Services Assistant E1 Sales Sales Clerk E1 Stationary Engineer Utility Systems Maint. Spec. G1 Stationary Engineer Stationary Engineer G2 Supplies Supplies Assistant E1 Trades Trades Assistant F1 Trades Trades Specialist G1 Trades Master Trades Specialist G2 Transportation Transportation / Deliver Asst. E2 Transportation Transportation / Delivery Spec. F1 ADDENDUM 2 Miami University DISPUTE RESOLUTION FORM Most employment issues can be solved directly between an employee and their supervisor. Ifan issue arises, you may present your issue by utilizing this form and submitting it to your immediate supervisor, your department head or the Chief Human Resources Officer as you see fit. Within ten (10) working days of submission of this form, the University will convene a meeting with you and any others that may be beneficial to the process to discuss the issue. You may initiate the procedure at any level of authority, or you may advance the issue to the next higher level of authority up to the Chief Human Resources Officer if you are dissatisfied with the University's response to your issue. The issue resolution process shall be completed within thirty (30) days of initiation of the process by an employee. For more details on the issue resolution process, employees covered by the AFSCME collective bargaining agreement are to refer to the contract, and SATSS employees are to refer to the SATSS handbook. Employee Name Date Submitted Campus Mail Address Employee Position Email Address Department Employee Phone Number Presented to* _____ Issue: Please describe in detail your issue, including; dates, witnesses, location, desired outcome, etc. as appro- priate. Use the back of this form or attach additional pages as necessary. Date Issue Resolution Meeting Held Names of Those in Attendance • A copy of this form must be sent to the Chief Human Resources Officer prior to any issue resolution meeting being held. • Supervisor or Department Head holding the meeting must submit a copy of this form along with the outcome of the meeting to the Chief Human Resources Officer. ADDENDUM 3 Waiver of Union Representation I, understand that I am entitled to a union representative to represent me at this pre-disciplinary hearing. However, Ido not want a union representative. Print Name Signature Date ADDENDUM 4 Sick Leave Form Mia mi University Leave Request/Approval Form for Classified Staff Employee Name (Type or Print Please) Date Submitted _ _ _ _ yes or no Department Division or Section, if applicable Requesting Preapproved Note: This form is to be used for all leave requests (pre-approved leave and non- pre-approved leave) except HDRBS staff requesting leave submitted through the annual "Request for Time Off' process (formerly known as the HDRBS Summer Vacation Schedule). I would like to request the following time off: Begin Date: _/ _/ From: _ _: am/pm MM/DD/YR End Date: / / To: _ : am/pm MM/DD/YR Total # of hours Requested: Please select the space in front of the type of leave you are requesting: Vacation Comp Personal Leave _Sick Military Jury _ __Parental Leave Other: Note: If sick leave is used please select the appropriate type below: Doctor or Dental Appointment Personal illness or injury Serious illness of immediate family member Death of family member: on Relationship Date of Death Please contact the Department of Human Resources concerning application for leave through the Family Medical and Leave Act (FMLA) or Workers Compensation (BWC) Leave Category: Select which of the three leave categories you are using: Approved FMLA for Self Approved FMLA for Family Workers Comp Select the type of time you are using: Sick Vacation Personal Leave Unpaid Leave Parental Leave (FMLA Only) Comp Time (BWC Only) Employee’s signature: (TO BE COMPLETED BY SUPERVISORWITHIN 24 -48 HOURS, IF POSSIBLE) Request is: Pre-approved (or) Not Pre-approved Approved (for pay) (or) Not approved (for pay) (check one) (check one) If leave is not approved, please state reason: Supervisor's signature: Today’s date: Note: Application for sick leave with intent to defraud may result in discipline up to and including termination and refund of salary and wage paid for the period of time in question. Sick leave may be used for the following reasons: • Illness or injury of the employee or a member of the employee's immediate family, (in the case of a member of the immediate family not living with the employee, the appointing authority may credit sick leave when it appears justified; but such cases should be carefully investigated • Death of a member of the employee's immediate family (not to exceed five work days) • Medical, dental, or optical examination or treatment of the employee or a member of the immediate family • When, through exposure to contagious disease, either the health of the employee would be jeopardized or the employee's presence on the job would jeopardize the health of others • Pregnancy and/or childbirth related conditions
Appears in 1 contract
Samples: Agreement
Classifications and Corresponding Department Working Titles. The following table is for informational information purposes only. It neither adds to nor detracts from the collective bargaining agreement or state law, and should be disregarded for contract administration/interpretation purposes. BandBand/ Zone Position Title/Zone Miami University Title Classification Department Department Departmental Working Title EI E2 Building & and Grounds Assists Campus Services BGA -Dishroom Building and Grounds Assistant HDRBS Facility Service Specialist PFD Building Service Worker PFD Sr. Building Service Worker PFD Asst. Groundskeeper Food Service Assistant HDRBS Dining Service Specialist HDRBS Assistant Cook HDRBS Campus Services Assistant Xxxxx Materials Handling Assistance PFD Recycling Center Food Service Worker PFD Sr. Recycling Center Assistant Campus Services Banquet/Event Server Food Service Worker PFD Master Recycling Center Assistant Campus Services Barista Food Service Worker PFD Trucking Assistant Campus Services Laborer (temp) Police Services Food Service Assistant Sales Clerk HDRBS Campus Services Sales Clerk Supplies Assistant HDRBS Dining Inventory Campus Services Supplies Assistant F1 Building and Grounds Technician PFD Building and Grounds Technician Building and Grounds Technician PFD Events Technician Building and Grounds Technician PFD Facilities Operations Specialist E2 Maintenance/- Grounds Building and Grounds Technician PFD Floor Care Specialist Building and Grounds Technician PFD Groundskeeper Building and Grounds Technician PFD Master Building Service Worker Building and Grounds Technician PFD Senior Groundskeeper Cook Campus Services Cook Maintenance Repair Tech. PFD Asbestos Worker Technician PFD Maintenance Repair Worker HDRBS Facility & - Middletown Campus Maintenance Repair Specialist Technician PFD Sr. Maintenance Repair Worker - Hamilton Campus Maintenance Repair Technician PFD Building Senior Maintenance Repair Worker PFD Building Services Repair Tech. PFD Sr. Building Services Repair Tech. Sr. Building & Grounds Asst. PFD Bldg. Oper. Spec. – - Middletown Campus PFD Bldg. Oper. Spec. – Xxxxxxxx Campus PFD Asst. Fac. Oper. Spec. / Bldgs. PFD Fac. Operations Spec. / Bldgs. HDRBS Facility & Maintenance Technician Sr. Food Service Assistant HDRBS Xxxxx HDRBS Cook HDRBS Master Cook HDRBS Senior Cook HDRBS Senior Xxxxx Transportation / Delivery Asst. PFD Asst. Mover PFD Mover HDRBS Transportation Assistant F1 Building & Grounds Coordinator HDRBS Facilities Supervisor (Dining Locations) PFD HC Customer Service Coord. PFD Building Services Coord. PFD Sr/ Building Services Coord. PFD Master Building Services Coord. Building & Grounds Repair Technician PFD Carpet Spc. PFD Journeyman Cleaning Tech. PFD Groundskeeper PFD Sr. Groundskeeper PFD/HDRBS Master Building Service Worker PFD Asst. Fac. Oper. Spec. / Grounds PFD Fac. Oper. Spec. / Grounds PFD Sr Facility Operations Spec / Grounds PFD Master Pac. Oper. Spec. / Bldgs. Food Service Operations Coodr. HDRBS Dining Services Production Leader HDRBS Dining Services Supervisor Senior Maintenance Repair Worker- Hamilton Campus Materials Handling Technician PFD Stores Materials Handling Technician Senior Building and Grounds Assistant PFD Building Operations Specialist - Xxxxxxxx Xxxx Senior Building and Grounds Assistant PFD Building Operations Specialist - Middletown Campus Senior Building and Grounds Assistant PFD Senior building and Grounds Assistant Senior Building and Grounds Assistant PFD Senior building and Grounds Assistant - (Ground) Senior Food Service Assistant Campus Services Xxxxx Transportation/Delivery Assistant PFD Mover Transportation/Delivery Assistant PFD Transportation/Delivery Assistant F2 Building and Grounds Coordinator PFD Building Services Coordinator Building and Grounds Coordinator Campus Services Building and Grounds Coordinator - Dish Xxxxxxx Building and Grounds Coordinator Campus Services Facilities Supervisor - Dining locations Building and Grounds Coordinator PFD Building and Grounds Coordinator - Events/Athletics Grounds Food Service Operations Coordinator Campus Services Delivery Captain Food Service Operations Coordinator Campus Services Food Service Operations Coordinator Food Service Operations Coordinator Campus Services Trainer Senior Cook Campus Services Senior Cook Senior Maintenance/Repair Technician PFD Events Specialist Senior Maintenance/Repair Technician PFD Senior Maintenance/Repair Technician Senior Maintenance/Repair Technician PFD Utility systems maintenance assistant Trades Assistant PFD Assistant Air Quality Technician Trades Assistant PFD Assistant Auto Technician Trades Assistant PFD Assistant Xxxxxxxxx Trades Assistant PFD Assistant Concrete Xxxxx Trades Assistant PFD Assistant Electrician Trades Assistant PFD Assistant Electronic Technician Trades Assistant PFD Assistant Elevator Mechanic Trades Assistant PFD Assistant Locksmith Trades Assistant PFD Assistant Xxxxx Trades Assistant PFD Assistant Painter/Plasterer Trades Assistant PFD Assistant Plumber Trades Assistant PFD Assistant Roofer Trades Assistant PFD Assistant Sheet Metal Worker Trades Assistant PFD Assistant Sign Crafter Trades Assistant PFD Assistant Small Appliance and Equipment Repair Specialist Trades Assistant PFD Assistant Tile Setter Trades Assistant PFD Assistant Welder Transportation/Delivery Specialist PFD Sr. Stores Equipment Operator Transportation/Delivery Specialist PFD Transportation/Delivery Specialist G1 Building and Grounds Specialist PFD Building and Grounds Specialist Building and Grounds Specialist PFD Master Stores Specialist PFD Recycling Center Service Specialist PFD Sr. Recycling Center Service Worker Sr. Maintenance / Repair Tech PFD Maintenance Repair Supervisor PFD Sr. Maint. Repair Tech for Spec Fac PFD Area Shop Technicians PFD Sr. Area Shop Technicians PFD Utility Systems Maintenance Asst. Trades Asst. PFD Asst. Xxxxxxxxx PFD Asst. Auto Tech PFD Asst. Electrician PFD Asst. Plumber PFD Asst. Air Quality Tech. PFD Asst. Air Quality Tech. PM PFD Asst. Electronic Tech PFD Asst. Locksmith PFD Asst. Concrete Xxxxx PFD Asst. Sheet Metal Worker PFD Asst. Sign Crafter PFD Asst. Tile Setter PFD Asst. Welder PFD Asst. Xxxxx PFD Asst. Small Appl. & Equip. Repair Spec. PFD Asst. AQT-BAS PFD Asst. Painter / Plasterer PFD Asst. Elevator Mech. PFD Asst. Roofer Transportation / Delivery Spec. PFD Equipment Operator PFD Sr. Equipment Operator PFD Master Equipment Operator PFD Master Mover F2 Maintenance / Repair Specialist PFD Special Facilities Supervisor PFD Sr. Asbestos Worker PFD Maintenance Inspector PFD Maintenance Repair Supervisor Spec. Fac. G1 Operations Specialist/Grounds Building & and Grounds Specialist PFD Master Groundskeeper PFD Master Fac Oper. Spec. / Grounds PFD Tree Trimmer PFD Master Cleaning Restoration Tech. PFD Pest / Animal Control Tech. PFD Sr. Hardscape Spec. PFD Asst. Horticulturist Building & and Grounds Supervisor PFD Sr. Building and Grounds Supervisor Food Production Leader Campus Services Food Production Leader Maintenance / Repair Spec. Specialist PFD HC & MC Sr. Maint. Maintenance Repair Spec. Specialist Trades Specialist PFD HC & MC Air Quality Technician Trades Specialist PFD Auto Technician Trades Specialist PFD Xxxxxxxxx Trades Specialist PFD Concrete Xxxxx Trades Specialist PFD Electrician Trades Specialist PFD Elevator Mechanic Trades Specialist PFD Locksmith Trades Specialist PFD Xxxxx Trades Specialist PFD Painter/Plasterer Trades Specialist PFD Plumber Trades Specialist PFD Roofer Trades Specialist PFD Sheet Metal Worker Trades Specialist PFD Sign Crafter Trades Specialist PFD Small Appliance and Equipment Repair Special Trades Specialist PFD Tile Setter Trades Specialist PFD Welder G2 Senior Building and Grounds Specialist PFD Senior Building and Grounds Specialist Master Main. Trades Specialist PFD Fire Alarm Technician Master Trades Specialist PFD Master Air Quality Technician Master Trades Specialist PFD Master Auto Technician Master Trades Specialist PFD Master Xxxxxxxxx Master Trades Specialist PFD Master Concrete Xxxxx Master Trades Specialist PFD Master Electrician Master Trades Specialist PFD Master Elevator Mechanic Master Trades Specialist PFD Master Locksmith Master Trades Specialist PFD Master Xxxxx Master Trades Specialist PFD Master Painter/Plasterer Master Trades Specialist PFD Master Plumber Master Trades Specialist PFD Master roofer Master Trades Specialist PFD Master Sheet Metal Worker Master Trades Specialist PFD Master Sign Crafter Master Trades Specialist PFD Master Small Appliance and Equipment Repair Spec. Specialist Master Trades Specialist PFD Master Tile Setter Master Trades Specialist PFD Master Welder Master Trades Specialist PFD Electrical Systems Services Specialist Senior Maintenance/Repair Specialist PFD Theater Technical Specialist – Spec. Fac. HDRBS Sr. Facility & Repair Technician Utility Systems Maintenance Specialist PFD Master Maintenance Inspector Trades Specialist PFD Plumber PFD Electrician PFD Roofer PFD Concrete / Xxxxx PFD Electronic Tech. PFD Painter / Plasterer PFD Xxxxxxxxx PFD Locksmith PFD Sheet Metal Worker PFD Xxxxx PFD Air Quality Tech. PFD Sign Crafter PFD Auto Tech PFD AQT-BAS PFD Utility Systems Maintenance Specialist PFD Sr. Auto Tech PFD Tile Setter PFD Small Appl. & Equip. Repair Spec. PFD Elevator Mechanic PFD Welder Utility Systems Maint. Spec. PFD G2 Maintenance Engineer PFD Stationary Engineer PFD Sr. Stationary Engineer PFD Master Stationary Engineer Master Trades PFD Master Sign Crafter PFD Master Electrician PFD Master Plumber PFD Master Welder PFD Master Utility Systems Spec. PFD Master Xxxxxxxxx PFD Master Concrete Xxxxx PFD Master Auto Tech PFD Master Air Quality Tech. PFD Master Sheet Metal Worker PFD Master Sm. Appl. & Equip. Repair Spec. PFD Master Painter / Plasterer PFD Master Electronics Tech. PFD Master Roofer PFD Master Xxxxx PFD Master Locksmith PFD Master Title Setter PFD Master AQT-BAS PFD Master Elevator Mech. PFD Fire Alarm Technician Sr. Building & Grounds Spec. PFD Arborist PFD Master Pest / Animal Control Tech. Stationary Engineer PFD Stationary Engineer PFD Sr. Stationary Engineer PFD Master Stationary Engineer Addendum 1A Classifications and Corresponding Job Families The following table is for information purposes only. It neither adds to nor detracts from the collective bargaining agreement or state law, and should be disregarded for contract administration/interpretation purposes. Job Family Classification / Job /Job Title Pay Zone Building and Grounds Building and Grounds Assistant E1 E2 Building and Grounds Sr. Building and Grounds Asst. E2 Building and Grounds Building and Grounds Tech Assistant F1 Building and Grounds Building and Grounds Coord. F1 Coordinator F2 Building and Grounds Building and Grounds Spec. Specialist G1 Building and Grounds Building and Grounds Supv. G1 Technician F1 Building and Grounds Sr. Building and Grounds Spec. Specialist G2 Food Service Cook F1-M1 Food Service Assistant E1 Food Production Leader G1-M1 Food Service Sr. Food Service Assistant E2 Food Service Food Service Operations Coord F1 Coordinator F2-M1 Maintenance Maintenance/Repair Specialist G1 Maintenance / Maintenance/Repair Technician E2 F1 Maintenance Sr. Maintenance / Repair Techn. F1 Maintenance Maintenance / Maintenance/Repair Specialist F2 G2 Maintenance Sr. Maintenance / Maintenance/Repair Spec. G1 Materials Handling Materials Handling Assistant E1 Technician F2 Materials Handling Materials Handling Technician F1 Postal Services Postal Services Assistant E1 Sales Sales Clerk E1 Stationary Engineer Utility Systems Maint. Spec. G1 Stationary Engineer Stationary Engineer G2 G2-M3 Supplies Supplies Assistant E1 E2 Trades Trades Assistant F1 F2 Trades Trades Specialist G1 G1-M1 Trades Trades Specialist (AQT, Electrician, Electronics, Elevator, Plumber) G1-M2 Trades Master Trades Specialist G2 G2-M1 TradesI Master Trades Specialist (AQT, Electrician, Electronics, Elevator, Plumber) G2-M2 Trades Master Trades Specialist (Electrician Lineman) G2-M4 Transportation Transportation / Deliver Asst. E2 Transportation Transportation / Transportation/Delivery Spec. Assistant F1 Transportation/Delivery Specialist F2 Utilities Utility Systems Maintenance Specialist G2-M1 ADDENDUM 2 Miami University DISPUTE RESOLUTION FORM Dispute Resolution Form Most employment issues can be solved directly between an employee and their supervisor. Ifan If an issue arises, you may present your issue by utilizing this form and submitting it to your immediate supervisor, your department head head, or the Chief Human Resources Officer Director of Employee and Labor Relations as you see fit. Within ten (10) working days of submission of this form, the University will convene a meeting with you and any others that may be beneficial to the process to discuss the issue. You may initiate the procedure at any level of authority, or you may advance the issue to the next higher level of authority up to the Chief Human Resources Officer Director of Employee and Labor Relations if you are dissatisfied with the University's response to your issue. The issue resolution process shall be completed within thirty (30) days of initiation of the process by an employee. For more details on the issue resolution process, employees covered by the AFSCME collective bargaining agreement are to refer to the contract, and SATSS employees are to refer to the SATSS handbook. Employee Name Date Submitted Campus Mail Address Employee Position Employee Phone Number Date Submitted Email Address Department Employee Phone Number Presented to* _____ to Issue: Please describe in detail your issue, including; dates, witnesses, location, desired outcome, etc. as appro- priateappropriate. Use the back of this form or attach additional pages as necessary. Date Issue Resolution Meeting Held held Names of Those those in Attendance • attendance A copy of this form must be sent to the Chief Human Resources Officer Director of Employee and Labor Relations prior to any issue resolution meeting being held. • Supervisor or Department Head holding the meeting must submit a copy of this form along with the outcome of the meeting to the Chief Human Resources Officer. Director of Employee and Labor Relations ADDENDUM 3 Waiver of Union Representation I, I ,understand that I am entitled to a union representative to represent me at this pre-disciplinary hearing. However, Ido I do not want a union representative. Print Name Signature Date ADDENDUM 4 Sick Leave Form Mia mi Miami University Leave Request/Approval Form American Federation of State, County and Municipal Employees, Ohio Council 8, Local Union 209 AFL-CIO Contract ratified on June 30, 2022 for Classified a July 1, 2022 effective date. Xxxxx Xxxxxxx: Senior Vice President Finance And Business Services �cia� Resources, CHRO xxxx Xxxxx, Senior Director Operations Xxxxx Xxxxxx, Vice President Xxxxxx Xxxxx, Staff Employee Name (Type or Print Please) Date Submitted _ _ _ _ yes or no Department Division or SectionRepresentative Ohio Council 8 uo�Camero:.m-� P«Xxxxx Sawy5:er-s, if applicable Requesting Preapproved Note: This form is to be used for all leave requests (pre-approved leave and non- pre-approved leave) except HDRBS staff requesting leave submitted through the annual "Request for Time Off' process (formerly known as the HDRBS Summer Vacation Schedule). I would like to request the following time off: Begin Date: _�PFD / _/ From: _ _: am/pm MM/DD/YR End Date: / / To: _ : am/pm MM/DD/YR Total # of hours Requested: Please select the space in front of the type of leave you are requesting: Vacation Comp Personal Leave _Sick Military Jury _ __Parental Leave Other: Note: If sick leave is used please select the appropriate type below: Doctor or Dental Appointment Personal illness or injury Serious illness of immediate family member Death of family member: on Relationship Date of Death Please contact the Department of Human Resources concerning application for leave through the Family Medical and Leave Act (FMLA) or Workers Compensation (BWC) Leave Category: Select which of the three leave categories you are using: Approved FMLA for Self Approved FMLA for Family Workers Comp Select the type of time you are using: Sick Vacation Personal Leave Unpaid Leave Parental Leave (FMLA Only) Comp Time (BWC Only) Employee’s signature: (TO BE COMPLETED BY SUPERVISORWITHIN 24 -48 HOURSd�(J(2 Davestadn� Xx Xxxxxxx, IF POSSIBLE) Request is: Pre-approved (or) Not Pre-approved Approved (for pay) (or) Not approved (for pay) (check one) (check one) If leave is not approved, please state reason: Supervisor's signature: Today’s date: Note: Application for sick leave with intent to defraud may result in discipline up to and including termination and refund of salary and wage paid for the period of time in question. Sick leave may be used for the following reasons: • Illness or injury of the employee or a member of the employee's immediate family, (in the case of a member of the immediate family not living with the employee, the appointing authority may credit sick leave when it appears justified; but such cases should be carefully investigated • Death of a member of the employee's immediate family (not to exceed five work days) • Medical, dental, or optical examination or treatment of the employee or a member of the immediate family • When, through exposure to contagious disease, either the health of the employee would be jeopardized or the employee's presence on the job would jeopardize the health of others • Pregnancy and/or childbirth related conditionsPFD All�
Appears in 1 contract
Samples: Agreement
Classifications and Corresponding Department Working Titles. The following table is for informational purposes only. It neither adds to nor detracts from the collective bargaining agreement or state law, and should be disregarded for contract administration/interpretation purposes. Band/Zone Miami University Title Department Department Working Title EI Building & Grounds Assistant HDRBS Facility Service Specialist PFD Building Service Worker PFD Sr. Building Service Worker PFD Asst. Groundskeeper Food Service Assistant HDRBS Dining Service Specialist HDRBS Assistant Cook Xxxx HDRBS Assistant Xxxxx Materials Handling Assistance PFD Recycling Center Service Worker PFD Sr. Recycling Center Service Worker PFD Master Recycling Center Service Worker PFD Trucking Services Laborer (temp) Police Services Assistant Sales Clerk HDRBS Sales Clerk Supplies Assistant HDRBS Dining Inventory Specialist E2 Maintenance/Repair Tech. PFD Asbestos Worker PFD Maintenance Repair Worker HDRBS Facility & Repair Specialist PFD Sr. Maintenance Repair Worker PFD Building Repair Worker PFD Building Services Repair Tech. PFD Sr. Building Services Repair Tech. Sr. Building & Grounds Asst. PFD Bldg. Oper. Spec. – Middletown Campus PFD Bldg. Oper. Spec. – Xxxxxxxx Campus PFD Asst. Fac. Oper. Spec. / Bldgs. PFD Fac. Operations Spec. / Bldgs. HDRBS Facility & Maintenance Technician Sr. Food Service Assistant HDRBS Xxxxx HDRBS Cook Xxxx HDRBS Master Cook Xxxx HDRBS Senior Cook Xxxx HDRBS Senior Xxxxx Transportation / Delivery Asst. PFD Asst. Mover PFD Mover HDRBS Transportation Assistant F1 Building & Grounds Coordinator HDRBS Facilities Supervisor (Dining Locations) PFD HC Customer Service Coord. PFD Building Services Coord. PFD Sr/ Building Services Coord. PFD Master Building Services Coord. Building & Grounds Technician PFD Carpet Spc. PFD Journeyman Cleaning Tech. PFD Groundskeeper PFD Sr. Groundskeeper PFD/HDRBS Master Building Service Worker PFD Asst. Fac. Oper. Spec. / Grounds PFD Fac. Oper. Spec. / Grounds PFD Sr Facility Operations Spec / Grounds PFD Master Pac. Oper. Spec. / Bldgs. Food Service Operations Coodr. HDRBS Dining Services Production Leader HDRBS Dining Services Supervisor Materials Handling Technician PFD Stores Specialist PFD Sr. Stores Specialist PFD Master Stores Specialist PFD Recycling Center Service Specialist PFD Sr. Recycling Center Service Worker Sr. Maintenance / Repair Tech PFD Maintenance Repair Supervisor PFD Sr. Maint. Repair Tech for Spec Fac PFD Area Shop Technicians PFD Sr. Area Shop Technicians PFD Utility Systems Maintenance Asst. Trades Asst. PFD Asst. Xxxxxxxxx PFD Asst. Auto Tech PFD Asst. Electrician PFD Asst. Plumber PFD Asst. Air Quality Tech. PFD Asst. Air Quality Tech. PM PFD Asst. Electronic Tech PFD Asst. Locksmith PFD Asst. Concrete Xxxxx PFD Asst. Sheet Metal Worker PFD Asst. Sign Crafter PFD Asst. Tile Setter PFD Asst. Welder PFD Asst. Xxxxx PFD Asst. Small Appl. & Equip. Repair Spec. PFD Asst. AQT-BAS PFD Asst. Painter / Plasterer PFD Asst. Elevator Mech. PFD Asst. Roofer Transportation / Delivery Spec. PFD Equipment Operator PFD Sr. Equipment Operator PFD Master Equipment Operator PFD Master Mover F2 Maintenance / Repair Specialist PFD Special Facilities Supervisor PFD Sr. Asbestos Worker PFD Maintenance Inspector PFD Maintenance Repair Supervisor Spec. Fac. G1 Building & Grounds Specialist PFD Master Groundskeeper PFD Master Fac Oper. Spec. / Grounds PFD Tree Trimmer PFD Master Cleaning Restoration Tech. PFD Pest / Animal Control Tech. PFD Sr. Hardscape Spec. PFD Asst. Horticulturist Building & Grounds Supervisor PFD Sr. Maintenance / Repair Spec. PFD HC & MC Sr. Maint. Repair Spec. PFD HC & MC Master Main. Repair Spec. PFD Theater Technical Specialist – Spec. Fac. HDRBS Sr. Facility & Repair Technician PFD Master Maintenance Inspector Trades Specialist PFD Plumber PFD Electrician PFD Roofer PFD Concrete / Xxxxx PFD Electronic Tech. PFD Painter / Plasterer PFD Xxxxxxxxx PFD Locksmith PFD Sheet Metal Worker PFD Xxxxx PFD Air Quality Tech. PFD Sign Crafter PFD Auto Tech PFD AQT-BAS PFD Utility Systems Specialist PFD Sr. Auto Tech PFD Tile Setter PFD Small Appl. & Equip. Repair Spec. PFD Elevator Mechanic PFD Welder Utility Systems Maint. Spec. PFD G2 Maintenance Engineer PFD Stationary Engineer PFD Sr. Stationary Engineer PFD Master Stationary Engineer Master Trades PFD Master Sign Crafter PFD Master Electrician PFD Master Plumber PFD Master Welder PFD Master Utility Systems Spec. PFD Master Xxxxxxxxx PFD Master Concrete Xxxxx PFD Master Auto Tech PFD Master Air Quality Tech. PFD Master Sheet Metal Worker PFD Master Sm. Appl. & Equip. Repair Spec. PFD Master Painter / Plasterer PFD Master Electronics Tech. PFD Master Roofer PFD Master Xxxxx PFD Master Locksmith PFD Master Title Setter PFD Master AQT-BAS PFD Master Elevator Mech. PFD Fire Alarm Technician Sr. Building & Grounds Spec. PFD Arborist PFD Master Pest / Animal Control Tech. Stationary Engineer PFD Stationary Engineer PFD Sr. Stationary Engineer PFD Master Stationary Engineer Classifications and Corresponding Job Families Job Family Classification / Job Title Pay Zone Building and Grounds Building and Grounds Assistant E1 Building and Grounds Sr. Building and Grounds Asst. E2 Building and Grounds Building and Grounds Tech F1 Building and Grounds Building and Grounds Coord. F1 Building and Grounds Building and Grounds Spec. G1 Building and Grounds Building and Grounds Supv. G1 Building and Grounds Sr. Building and Grounds Spec. G2 Food Service Food Service Assistant E1 Food Service Sr. Food Service Assistant E2 Food Service Food Service Operations Coord F1 Maintenance Maintenance / Repair Technician E2 Maintenance Sr. Maintenance / Repair Techn. F1 Maintenance Maintenance / Repair Specialist F2 Maintenance Sr. Maintenance / Repair Spec. G1 Materials Handling Materials Handling Assistant E1 Materials Handling Materials Handling Technician F1 Postal Services Postal Services Assistant E1 Sales Sales Clerk E1 Stationary Engineer Utility Systems Maint. Spec. G1 Stationary Engineer Stationary Engineer G2 Supplies Supplies Assistant E1 Trades Trades Assistant F1 Trades Trades Specialist G1 Trades Master Trades Specialist G2 Transportation Transportation / Deliver Asst. E2 Transportation Transportation / Delivery Spec. F1 ADDENDUM 2 Miami University DISPUTE RESOLUTION FORM Most employment issues can be solved directly between an employee and their supervisor. Ifan issue arises, you may present your issue by utilizing this form and submitting it to your immediate supervisor, your department head or the Chief Human Resources Officer as you see fit. Within ten (10) working days of submission of this form, the University will convene a meeting with you and any others that may be beneficial to the process to discuss the issue. You may initiate the procedure at any level of authority, or you may advance the issue to the next higher level of authority up to the Chief Human Resources Officer if you are dissatisfied with the University's response to your issue. The issue resolution process shall be completed within thirty (30) days of initiation of the process by an employee. For more details on the issue resolution process, employees covered by the AFSCME collective bargaining agreement are to refer to the contract, and SATSS employees are to refer to the SATSS handbook. Employee Name Date Submitted Campus Mail Address Employee Position Email Address Department Employee Phone Number Presented to* _____ Issue: Please describe in detail your issue, including; dates, witnesses, location, desired outcome, etc. as appro- priate. Use the back of this form or attach additional pages as necessary. Date Issue Resolution Meeting Held Names of Those in Attendance • A copy of this form must be sent to the Chief Human Resources Officer prior to any issue resolution meeting being held. • Supervisor or Department Head holding the meeting must submit a copy of this form along with the outcome of the meeting to the Chief Human Resources Officer. ADDENDUM 3 Waiver of Union Representation I, understand that I am entitled to a union representative to represent me at this pre-disciplinary hearing. However, Ido not want a union representative. Print Name Signature Date ADDENDUM 4 Sick Leave Form Mia mi University Leave Request/Approval Form for Classified Staff Employee Name (Type or Print Please) Date Submitted _ _ _ _ yes or no Department Division or Section, if applicable Requesting Preapproved Note: This form is to be used for all leave requests (pre-approved leave and non- pre-approved leave) except HDRBS staff requesting leave submitted through the annual "Request for Time Off' process (formerly known as the HDRBS Summer Vacation Schedule). I would like to request the following time off: Begin Date: _/ _/ From: _ _: am/am/ pm MM/DD/YR End Date: / / To: _ : am/am/ pm MM/DD/YR Total # of hours Requested: Please select the space in front of the type of leave you are requesting: Vacation Comp Personal Leave _Sick Military Jury _ __Parental Leave Other: Note: If sick leave is used please select the appropriate type below: Doctor or Dental Appointment Personal illness or injury Serious illness of immediate family member Death of family member: on Relationship Date of Death Please contact the Department of Human Resources concerning application for leave through the Family Medical and Leave Act (FMLA) or Workers Compensation (BWC) Leave Category: Select which of the three leave categories you are using: Approved FMLA for Self Approved FMLA for Family Workers Comp Select the type of time you are using: Sick Vacation Personal Leave Unpaid Leave Parental Leave (FMLA Only) Comp Time (BWC Only) Employee’s signature: (TO BE COMPLETED BY SUPERVISORWITHIN 24 -48 HOURS, IF POSSIBLE) Request is: (check one) Pre-approved (or) Not Pre-approved Approved (for pay) (or) (check one) Not approved (for pay) (check one) (check one) If leave is not approved, please state reason: Supervisor's signature: Today’s date: Note: Application for sick leave with intent to defraud may result in discipline up to and including termination and refund of salary and wage paid for the period of time in question. Sick leave may be used for the following reasons: • Illness or injury of the employee or a member of the employee's immediate family, (in the case of a member of the immediate family not living with the employee, the appointing authority may credit sick leave when it appears justified; but such cases should be carefully investigated • Death of a member of the employee's immediate family (not to exceed five work days) • Medical, dental, or optical examination or treatment of the employee or a member of the immediate family • When, through exposure to contagious disease, either the health of the employee would be jeopardized or the employee's presence on the job would jeopardize the health of others • Pregnancy and/or childbirth related conditions
Appears in 1 contract
Samples: Agreement
