ࡱ> 140 bjbj>> 4 TTs #82N"0b(eee$R6-eeeeee|e*Fu0":ov::eeeeeeeeee"eeee:eeeeeeeee : NOTICE OF EXPECTED WORK SCHEDULE 91Ӱ Keene, New Hampshire The purpose of this form is to notify hourly-paid, adjunct employees of a work schedule which may require a work schedule of less than two hours per day (does not apply to Operating Staff). Under NH labor law*, if employees receive written advance notification that their work schedule will be less than two hours, they will be paid the actual time worked, not a two-hour minimum. In certain circumstances, 91Ӱ departments may choose to utilize this option, as some hourly-paid employees may not have a schedule that allows them to work the minimum two hours. (If this is the only reason for the notification, there is no need for the reason line below). Human Resources approval is required prior to the work being performed. Department requesting this notification: __________________________________________________ Employee requiring this notification: ____________________________________________________ Reason department is requesting utilization of LAB 803.3 Notification and Records (i) under State Law, RSA 275:43 a. (Explain the circumstances of the job that require this exception). _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Effective Dates for this notification: From: _____ To: _____ This form documents the employees understanding and agreement of advanced written notification that s/he shall at times be scheduled to work less than two hours per day, and will be paid the actual hours worked, not a two-hour minimum. Employees Name (please print):_____________________ Department__________________________ USNH ID Number_________________________________ Signature: _________________________________ Date: _______________________________ Hiring Supervisors Name (please print):_____________________ Department__________________________ Signature:___________________________________ Date: ______________________________ Human Resources Signature: ____________________________ Date: ______________________________ Human Resources Review: m Approved m Denied NH RSA 275:43-a  HYPERLINK "http://www.gencourt.state.nh.us/rsa/html/XXIII/275-43-a.htm" http://www.gencourt.state.nh.us/rsa/html/XXIII/275-43-a.htm NH Dept of Labor Lab 803.3 Notification and Records. (i)  HYPERLINK "http://www.gencourt !   9 X Z g wz߼߳ų}y}ymaUhx CJOJQJaJh*OJQJh 5OJQJh>*OJQJh5OJQJhOJQJh6OJQJhOJQJhKj'5CJOJQJaJhCJOJQJaJ!!5JK 8 9 ;<lmLNgd$a$gdzL>@JLN/0зviVGEGVUhCH6>*CJOJQJaJ%jhCH6>*CJOJQJUaJh.96CJOJQJaJh }6CJOJQJaJ#hsDh0J6CJOJQJaJh6>*CJOJQJaJ%jh6>*CJOJQJUaJh6CJOJQJaJhJCJOJQJaJh }CJOJQJaJhx CJOJQJaJh #9CJOJQJaJh*CJOJQJaJ%jhCH6>*CJOJQJUaJ#hsDhCH0J6CJOJQJaJ21h:pKj'/ =!"#$% j 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH @`@ Kj'NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List 6U`6 0 Hyperlink >*B*ph44 M0Header  H$.. M0 Header Char4 @"4 M0Footer  H$.1. M0 Footer CharPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]   """%z0 N  i / p XX8@0(  B S  ?FG q r s u v x y { | ~  CO13  s u v x y { | ~  333333 wzr s s v v  9F aw f).9x Kj'{6 #9Ň>Ň՜.+,՜.+,< hp  91Ӱn   Title 8@ _PID_HLINKSAh HAhttp://www.gencourt.state.nh.us/rules/state-agencies/lab800.html4u<http://www.gencourt.state.nh.us/rsa/html/XXIII/275-43-a.htm !"#$%&')*+,-./236Root Entry F-F51Table:WordDocument 4 SummaryInformation( DocumentSummaryInformation8(MsoDataStore0F*FKJ3EG1G3IJ==20F*FItem PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q