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Document 1716710

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Document 1716710
ALBERT EINSTEIN COLLEGE OF MEDICINE, INC.
PAYROLL OVERPAYMENTS FORM
I understand and unconditionally agree to the following:
While vacation, personal days (if applicable), and sick time computation begins on the first day
of employment I understand that I have not earned such time and I am not entitled to any
payment for same from Albert Einstein College of Medicine, Inc. until I have successfully
completed six (6) months of active employment. If during such six (6) month period or
thereafter Albert Einstein College of Medicine, Inc. advances any sick, personal, or vacation pay
to me upon demand of the College, I shall repay the gross amount of such advanced money to
Albert Einstein College of Medicine, Inc.
I further understand that, under no circumstances, am I entitled to be paid for any accrued but
unused sick time if I leave the employ of Albert Einstein College of Medicine, Inc.
I acknowledge and consent to filing my Payroll Overpayments form in an electronic format:
___________________________________________
Name (please print or type)
___________________
Date
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