Voluntary Personal Leave of Absence (VPLOA) Request

Name: _______________________________ Date: ____________________________

Employee #: __________________________ Base: ___________________________

Month Requested: _____________________ 1^st Training Date: __________________

TERMS

· VPLOA will be awarded based on domicile/bid seniority.

· VPLOA will be awarded based on the flight attendant’s domicile assignment for the bid month requested.

· Once a VPLOA has been awarded, it must be taken and cannot be rescinded.

· You can only bid for one (1) month at a time.

· Only full bid month periods will be granted (vacation may be included in the month period).

· Forms must be received by Inflight Administration in Crystal City no later than the 15^th of the month, two months prior to the month being requested. (e.g. An October bid month request must be received by August 15^th.) Late submissions will not be accepted.

VACATION

Flight Attendants with vacation will be awarded a PPO (Pay Purposes Only) line. All vacations will be paid in accordance with the Flight Attendant Agreement. A Flight Attendant who has been awarded a VPLOA is ineligible for vacation swaps.

Are you on vacation during the month requested? Yes ___ No ___

Dates of vacation: From __________ To: __________

TRAINING

You must attend any applicable training in the month it is due. You will be paid in accordance with Section 21 of the Flight Attendant Agreement.

BENEFITS

Flight Attendants will continue to accrue seniority, passes, insurance, vacation, and sick time in accordance with Section 20 of the Flight Attendant Agreement.

Submit request to:

US Airways, Inflight Administration

2345 Crystal Drive, DCA/H695

Arlington, VA 22227

Fax (703)-872-6476

I UNDERSTAND AND ACCEPT THE TERMS AND CONDITIONS OF THE ABOVE.

SIGNED: ____________________________ DATE: ___________________________

FA-15 (Revised 07/23/01)