FURLOUGH REPORTING FORM

Please complete and submit this form to the Office of Human Resources by clicking on the Submit Button located at the bottom of the page.

Fiscal Year

Type of Furlough:
(Indicate whether the furlough is a mandatory furlough or voluntary furlough.) 		  Mandatory Voluntary
Agency Name:
Division/Program:
(If you are reporting a mandatory furlough for a specific division or program, please submit a form for each division or program.)
Total Number of Employees Who Participated in a Furlough:
Total Number of Furlough Days:
Average Number of Furlough Days:
(If you are reporting a voluntary furlough, please complete.)
Estimated Cost Savings:
Agency Representative:
Date:

Your form will be submitted to Kris Mayer of the SC Office of Human Resources. To send the form by mail, print a copy and send to:

SC Budget & Control Board
Office of Human Resources
ATTN: Kris Mayer
1201 Main Street, Suite 800
Columbia, SC 29201