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Get the free PEHP Leave Worksheet - dhrm utah

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This document is used by State of Utah employees to report and manage approved FMLA leaves, gaps in service, or leaves of absence without pay, ensuring necessary information is forwarded to PEHP.
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How to fill out PEHP Leave Worksheet

01
Obtain the PEHP Leave Worksheet from your HR department or online portal.
02
Fill in your personal information at the top of the form, including your name, employee ID, and department.
03
List the dates you plan to take leave in the designated section.
04
Indicate the type of leave you are requesting (sick leave, vacation, etc.) and provide any necessary documentation or proof if required.
05
Total the number of leave hours you are requesting and fill this in under the respective section.
06
Review the form for accuracy and completeness.
07
Submit the worksheet to your supervisor or HR department for approval.

Who needs PEHP Leave Worksheet?

01
Employees who wish to take leave from work for various reasons such as illness, personal matters, or vacation.
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The PEHP Leave Worksheet is a document used to track and report employee leave balances, including sick and vacation leave, for the purposes of benefits administration.
Employees who are participating in the PEHP benefits program and have leave balances that need to be reported are required to file the PEHP Leave Worksheet.
To fill out the PEHP Leave Worksheet, employees should provide their personal information, indicate their leave balances for various categories, and submit it as per the guidelines provided by their employer.
The purpose of the PEHP Leave Worksheet is to ensure accurate reporting of leave balances for the proper administration of employee benefits and to assist in planning for leave usage.
The PEHP Leave Worksheet must report information such as the employee's name, identification number, type of leave taken, dates of leave, and the current balances of sick and vacation leave.
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