"Administrative Leave - Active Military Duty Worksheet" - Maryland

Administrative Leave - Active Military Duty Worksheet is a legal document that was released by the Maryland Department of Budget and Management - a government authority operating within Maryland.

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  • Released on January 1, 2017;
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ADMINISTRATIVE LEAVE – ACTIVE MILITARY DUTY
WORKSHEET
(FOR PERSONNEL USE ONLY)
Employee Name:
Department Name:
Last Day of Work:
Activation Date:
1. Current State Salary:
Grade/Step:
(Bi-weekly Salary)
2. Current Military Salary:
(Bi-weekly Salary, not including allowances, shift or hazard pay)
3. Total Difference in Salary:
(If 2. is more than 1. enter 0 as the total. If 2. is less than 1., subtract 2. from 1. to get the
total difference in salary.)
4. State Hourly Rate:
(Hourly rate is the bi-weekly salary divided by the number of regular work hours)
5. Administrative Leave Hours:
(Divide 3. by 4. to obtain the number of hours the employee will be compensated each
Pay Period.)
6. Start Date of Administrative Leave:
COMPLETE THE FOLLOWING WHEN EMPLOYEE RETURNS
7. End Date of Administrative Leave:
(First date employee is not on active military duty.)
8. Return to Work Date:
10. Total Administrative Leave Hours Used:
(Multiply 5. by the number of pay periods the employee was on active duty as of date
used in 6.)
cc: Agency Payroll Office
Cynthia Kollner, Dept. of Budget & Management
Submit a copy of this worksheet and military orders when Administrative Leave begins
and immediately after employee returns to work.
Rev.0117
ADMINISTRATIVE LEAVE – ACTIVE MILITARY DUTY
WORKSHEET
(FOR PERSONNEL USE ONLY)
Employee Name:
Department Name:
Last Day of Work:
Activation Date:
1. Current State Salary:
Grade/Step:
(Bi-weekly Salary)
2. Current Military Salary:
(Bi-weekly Salary, not including allowances, shift or hazard pay)
3. Total Difference in Salary:
(If 2. is more than 1. enter 0 as the total. If 2. is less than 1., subtract 2. from 1. to get the
total difference in salary.)
4. State Hourly Rate:
(Hourly rate is the bi-weekly salary divided by the number of regular work hours)
5. Administrative Leave Hours:
(Divide 3. by 4. to obtain the number of hours the employee will be compensated each
Pay Period.)
6. Start Date of Administrative Leave:
COMPLETE THE FOLLOWING WHEN EMPLOYEE RETURNS
7. End Date of Administrative Leave:
(First date employee is not on active military duty.)
8. Return to Work Date:
10. Total Administrative Leave Hours Used:
(Multiply 5. by the number of pay periods the employee was on active duty as of date
used in 6.)
cc: Agency Payroll Office
Cynthia Kollner, Dept. of Budget & Management
Submit a copy of this worksheet and military orders when Administrative Leave begins
and immediately after employee returns to work.
Rev.0117