HomeMy WebLinkAbout106.040 - FD-22.5, Leave Payoff RequestEffective Date: October 2007 Section 106.040
Current Revision Date: 4/1/2022 ADA
Next Revision (2) Date: 4/1/2024 Page 1 of 3
100 Administrative Manual
SECTION 106.040 LEAVE PAYOFF REQUEST (FD-22.5)
PURPOSE
This policy provides information necessary to process cash payment of a leave
balance.
APPLICATION
The FD-22.5 is used to process the cash payment of a leave balance as requested by
the employee.
OPERATIONAL POLICY
The FD-22.5 shall be completed whenever a member desires to receive a cash payoff
for leave balances as allowed by the employee’s respective Memorandum of
Understanding (MOU). Leave cash out eligibility is discussed in the “LEAVES” section
of each MOU. Fire Payroll staff will be available to provide guidance for any questions.
OPERATIONAL GUIDELINE
This section intentionally left blank.
PROCESS
1. Enter the date of request.
2. Name of requesting member.
3. Type of leave.
4. Enter the date of payday to be paid for leave balance. Form must be received
by the payroll at least five business days before requested payday.
5. Enter the number of leave hours to be paid.
6. Enter the appropriate division number.
Fresno City Fire Department
Effective Date: October 2007 Section 106.040
Current Revision Date: 4/1/2022 ADA
Next Revision (2) Date: 4/1/2024 Page 2 of 3
160101 Administration
160103 Public Outreach
160201 Suppression
160301 Inspection
160306 Business and Fiscal Services
160501 Training
160502 EMS
160602 Supply
160604 Facility Management
160605 Technical and Personnel Services
160607 Fire Marshal’s Unit
7. Enter ID number of member.
8. Signature of member.
INFORMATION
The FD-22.5 shall be the responsibility of the member requesting cash payment of
leave balance. The request must be submitted to fire payroll via courier or email to
fire.payroll@fresno.gov at least five business days before requested payday.
DEFINITIONS
Business Day: Monday, Tuesday, Wednesday, Thursday, Friday.
CROSS-REFERENCES
No cross-references recognized.
Effective Date: October 2007 Section 106.040
Current Revision Date: 4/1/2022 ADA
Next Revision (2) Date: 4/1/2024 Page 3 of 3
FD-22.5
FRESNO CITY FIRE DEPARTMENT
LEAVE PAYOFF REQUEST
LEAVE PAYOFFS CODES
Annual Leave LV3
Comp Time Y03
Employee Incentive Time EINT
Holiday Time (Units 1, 2, 3, 13, 14)H02
Holiday Time (Units 5 and 10)H12
Management Leave (Units 2, 13, 14)M02
Management Leave (Unit 10)MP5
Vacation Time V03
I, , hearby request payment of my
leave balance to be paid on the payday.
The number of hours of leave to be paid hours
Division No.Employee ID Signature
Note:Fire Payroll must receive this request at least five (5) business days before the requested payday.
PAYROLL SECTION USE ONLY
Leave hours x hourly rate (leave payoff code ) = $
Pay Period Posted
Completed By
FD-22.5 (11/24/21)