Holiday Pay Form Submission 2025-2026

In accordance with the CIR contract Article 7,Section 8, Part b: “…(b) House Staff Officers scheduled to work on a hospital holiday six (6) hours or more are to receive an alternate day off with pay within one hundred and twenty (120) days, to be taken before or after the worked holiday, or receive a day’s pay. The program director will consider the House Staff officer’s preference, but whether the House Staff officer receives a day off or a day’s pay in lieu of time off shall be a the sole discretion of the hospital.  House Staff Officers scheduled to work on a hospital holiday off service or on an out rotation will receive a day’s pay. Requests for payment of a day’s pay in lieu of an alternate day off must be submitted to Academic Affairs within 120 days of the day worked with appropriate signatures.”  Please use this form to provide the information necessary to process your payment.