Leave Chit Calculator

Leave Chit Calculator Instructions

Insert your Name and the last 4 of your Social Security Number into the designated box. If you do not wish to provide your last 4, you can enter 0000.
Enter in your available leave balances in the designated boxes. Your current leave balances can be found on your most recent Leave and Earnings Statement (LES) which can be found on MyPay.
Enter the order in which you would like your leave to be charged via the priority boxes.
Enter the dates for your leave start and end date.
Click “Generate Leave Chit”. The created form will open. Save it and submit to your detailer.

Important Note:

If you are not in a Not Fit For Duty (NFFD) status, you cannot use more than 3 days (24 Hours) of Sick Leave in a Pay Period. If you request sick leave while not in a NFFD status, your detailer will likely disapprove your leave request which may result in you not being paid for the pay period. Contact your detailer to determine your current Medical Status.
It is recommended that you ask your detailer for a “screenshot” from HRMS for proof of Leave Chit acceptance.

First:

Middle:

Last:

SSN Last Four:

Phone:

Email:

Are you going on approved FMLA Leave? Please note, FMLA must be approved via HR and the FMLA approval process:

Duty Status:

Unless you are Not Fit For Duty “NFFD”, you cannot use more than 3 days (24 hours) of sick leave. If you submit a leave chit with more than 3 days of sick leave, your Detailer will disapprove it. If you wish to submit a leave chit with sick leave anyway, please check “NFFD” and submit at your own risk of rejection.

Your current leave balances can be found on your most recent LES.

Available Leave:

Annual: Hrs

Sick: Hrs

Compensatory: Hrs

Travel Comp: Hrs

Time Off AWD: Hrs

Shore: Days

First Priority:

Second Priority:

Third Priority:

Fourth Priority:

Fifth Priority:

Sixth Priority:

Date Start:

Date End:

Remarks: