Vacation Payout Request - Exempt
This form is for exempt (monthly paid) staff. If you have questions, email
payroll@vanderbilt.edu
.
Fields marked with an asterisk (*) are required fields.
Information about the Employee Leaving Vanderbilt
Employee ID*
Name*
Pay Group*
Termination Date*
Retiring?*
Yes
No
Vacation Days Used Last Month*
Vacation Days Used Current Month*
Vacation Days Used Next Month (if applicable)
Comments
Department Authorization
Your Name*
Your Email*
Your Phone*