DISTRICT OF UTAH COURT CALENDAR
Magistrate Judge Robert Braithwaite
(This calendar last updated on March 20, 2020 at 4:26 pm).
United States District Court for the District of Utah
*Please enter dates in Day Month Year format, i.e 4 August 2008 Week One |
|||||
|
Date |
Hours Worked |
Type of Leave Used** |
Hours of Leave |
Total Hours |
Monday |
February 17, 2020 |
|
H |
8.00 |
8.00 |
Tuesday |
February 18, 2020 |
8.25 |
|
|
8.25 |
Wednesday |
February 19, 2020 |
8.50 |
|
|
8.50 |
Thursday |
February 20, 2020 |
8.00 |
|
|
8.00 |
Friday |
February 21, 2020 |
8.00 |
|
|
8.00 |
Sat/Sun |
|
|
|
|
0.00 |
** See Leave list below Week Two |
|||||
|
Date |
Hours Worked |
Type of Leave Used** |
Hours of Leave |
Total Hours |
Monday |
February 24, 2020 |
9.50 |
|
|
9.50 |
Tuesday |
February 25, 2020 |
9.00 |
|
|
9.00 |
Wednesday |
February 26, 2020 |
9.00 |
|
|
9.00 |
Thursday |
February 27, 2020 |
8.00 |
|
|
8.00 |
Friday |
February 28, 2020 |
8.25 |
|
|
8.25 |
Sat/Sun |
|
|
|
|
0.00 |
|
|
Hours Worked |
|
Leave Hours |
Total Hours |
Bi-Weekly Pay Period Totals |
|
76.5 |
|
8 |
84.5 |
SICK PURPOSE: Medical/dental/optical examination of requesting employee ☐ Other (Illness of employee) ☐Bereavement (Specify relationship) |
|||||
Family & Medical Leave: ☐ Serious Health of self ☐ Birth/Adoption/Foster/Care ☐ Serious Health Condition of Spouse/Child/Parent |
|||||
|
|
I hereby certify that the leave/absence I have used is for the purpose indicated above. I understand that I must comply with my employers procedures for requesting leave/approved absence (and additional documentation, including medical certification if required) and that falsification of information on this form may be grounds for disciplinary action, including removal.
A = Annual
H = Holiday
D = Administrative
M = Military
S = Sick
C = Compensatory
O = Other - Explain in comments
T = Telework
__________________________ _3/20/2020___
Employee Signature Date
Employee signature certifies minimum 80 hours required for full time
positions are met.
_________________________________ _3/20/2020____
Supervisor/Designee Date
Supervisor signature designates receipt and review of time sheet.