Vacation Payout Request - Non-Exempt

This form is for non-exempt (hourly paid) staff. If you have questions, email payroll@vanderbilt.edu.

Fields marked with an asterisk (*) are required fields.

Employee ID*

Name*

Pay Group*

Termination Date*

Retiring?*

All hours must be worked/utilized before accurate payout information can be provided. Please do not input leave balance totals in the vacation, sick, and personal hour spaces below. Only include leave hours that were utilized in the current pay period. If no leave hours were utilized, input the number (0).

1

Regular Hours*

Vacation Hours*

Sick Hours*

Personal Hours*

Other

Other

Other eligible hours would include: Holiday, Bereavement, Paid Adminstrative Leave, Inservice, Orientation, etc.

Comments

Your Name*

Your Email*

Your Phone*