Vacation Payout Into PEHP Request Form

Per policy, up to two weeks of vacation remaining at year’s end is automatically carried over to the next year, and additional vacation is converted to the post-employment health plan (PEHP). If employees wish to convert any of the first two weeks of vacation to PEHP, they must fill out this form and submit it to the Library Director for approval. Approved requests from the department director must be forwarded to Human Resources by no later than December 15.

Although some of the PEHP conversion is automatic, it still requires proper entry on your year-end timesheet. The form provides instructions – but Library staff should note that where the form says “enter in payroll”, we mean “write on your timesheet.”

If you have questions, ask your supervisor or Maureen.