OF873_15
Annual Attendance Record - 2015
Optional Form 873 (OF 873), Annual Attendance Record - 2015, is printed as a General Services Administration (GSA) form. Its footer reads GSA 873 (REV. 12/2014) with the line (Also known as OF 873), and GSA hosts it in its forms library. The front is marked Sensitive, but Unclassified.
The form says it is an optional form for timekeepers to use in recording daily and bi-weekly pay and leave activity, and that it is a record of what SHOULD BE recorded into the official payroll system. It says the bi-weekly Earnings and Leave Statement, the Supervisor's Time and Attendance Report and the Premium Pay Report reflect what IS in the official payroll system, and that those reports should agree with the data on this form.
The front holds one row for each 2015 pay period, from code 3 (1/11 - 1/24) to code 27 (12/13 - 12/26), then code 1 (12/27 - 1/9), with a box for each day, annual and sick leave columns and an Employee block. The back has untitled columns headed Other Types of Leave Categories. You can fill it out free in your browser on this page and download the result without an account.
H marks a holiday and a black square marks the last day of a month. The suggested codes are A for Annual Leave, S for Sick Leave, E for Excused, W for Absent Without Leave, M for Military Leave, R for Restored Leave, D for Award Leave, L for Leave Without Pay, CE for Compensation Time Earned, CU for Compensation Time Used, OT for Overtime and C for Continuation of Pay for Traumatic, as printed.
For leave categories 4, 6 and 8, it shows 4, 6 and 8 hours of annual leave and 4 hours of sick leave per pay period, or 104, 160 and 208 annual hours and 104 sick hours per leave year. The 6 hours for category 6 carry the note *10 hours pay period ending 12/26.
One row per pay period, from code 3 (1/11 - 1/24) to code 27 (12/13 - 12/26), then code 1 (12/27 - 1/9), with a box for each day from Sunday to Saturday over two weeks. Holidays come printed as H.
Each side starts with a carry-over and opening balance, then records leave earned and used this pay period, used to date and the balance.
Address, name, telephone number, leave category code, block number, service computation date and entered on or transmittal date, plus a Tour of Duty box in the top corner.
A note on the front says the untitled columns above and on the back provide space to record other leave or premium pay categories that may apply. The back gives Shared (Donated), Restored, Award, Family Friendly (Sick or Medical), Military, Compensatory Leave and Credit Hours as examples.
The front is one grid for the 2015 leave year. The back adds columns for other leave categories.
Fill in the Employee block at the bottom: name, address, telephone number, leave category code, block number, service computation date and entered on or transmittal date. The Tour of Duty box sits in the top corner.
The annual leave and sick leave sections each start with a carry-over box and an opening balance box.
Enter codes in the day boxes for each pay period. The legend lists suggested codes such as A for Annual Leave and S for Sick Leave, and holidays are already printed as H on the 2015 grid.
For each pay period, enter the annual and sick leave hours earned and used this pay period, the hours used to date and the balance.
The form says the untitled columns may be used to maintain usage and balances for any leave and premium pay categories that may apply for an individual employee.
The form says the bi-weekly Earnings and Leave Statement, the Supervisor's Time and Attendance Report and the Premium Pay Report should agree with the data on this form.
The PDF has no line-by-line instructions. These steps follow the blocks it prints.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The PDF gives no filing address or recipient. It describes itself as a record of what should be recorded into the official payroll system.
The footer reads GSA 873 (REV. 12/2014) and PREVIOUS EDITION IS NOT USABLE. GSA's page lists a current revision date of 12/2014.
The front footer prints GSA 873 and, under it, (Also known as OF 873). The back footer prints GSA 873 (REV. 12/2014) BACK.
The front of the form is marked Sensitive, but Unclassified.
The PDF prints no signature line, OMB number, burden estimate or Privacy Act statement, and GSA's page lists no authority or regulation.
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The form describes itself as a timekeeper's record. It prints no signature line, filing address or OMB number.
No tool matches that search.
The form prints GENERAL SERVICES ADMINISTRATION and the footer GSA 873 (REV. 12/2014), with the line (Also known as OF 873). GSA hosts it in its forms library.
The footer prints GSA 873 (REV. 12/2014) with the line (Also known as OF 873).
The form says it is an optional form for timekeepers to use in recording daily and bi-weekly pay and leave activity. Each copy records one employee, named in the Employee block.
The form says it is a record of what SHOULD BE recorded into the official payroll system, while the bi-weekly Earnings and Leave Statement, the Supervisor's Time and Attendance Report and the Premium Pay Report reflect what IS in that system and should agree with the form.
For leave categories 4, 6 and 8, it shows 4, 6 and 8 hours of annual leave and 4 hours of sick leave per pay period, or 104, 160 and 208 annual hours and 104 sick hours per leave year. The 6 hours for category 6 carry the note *10 hours pay period ending 12/26.
The legend lists H for a holiday and the suggested codes A for Annual Leave, S for Sick Leave, E for Excused, W for Absent Without Leave, M for Military Leave, R for Restored Leave, D for Award Leave, L for Leave Without Pay, CE for Compensation Time Earned, CU for Compensation Time Used, OT for Overtime and C for Continuation of Pay for Traumatic, as printed. A black square marks the last day of a month.
From code 3 (1/11 - 1/24) to code 27 (12/13 - 12/26), then code 1 (12/27 - 1/9).
The form says PREVIOUS EDITION IS NOT USABLE. This edition is Rev. 12/2014, printed in the footer as GSA 873 (REV. 12/2014).