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Virginia Sickness and Disability Program

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Short-Term Disability (Work Related) Spreadsheet Instructions

Complete the following instructions once a determination action form has been received:

  1. Enter the agency name or number.
  2. Enter the employee's name.
  3. Enter the employee's Social Security Number or employee number.
  4. Enter the employee's semi-monthly salary.
  5. From the determination action form, enter the date range the employee is eligible for 100% payment.
  6. From the determination action form, enter the date range the employee is eligible for 80% payment.
  7. From the determination action form, enter the date range the employee is eligible for 60% payment.
  8. Enter the number of disability credits that the employee has at the time of the claim.
  9. Enter the Worker's Compensation Weekly Indeminity Benefit.
  10. Enter the date the employee has authorized the use of disability credits from their authorization sheet.
  11. Enter date to end accruing annual leave(sixty days from first day of short term disability).
  12. Enter the Short Term Disability Start Date from the determination action form.
  13. Enter the Short Term Disability Start Date from the determination action form.
  14. Use the save as function, and save the spreadsheet under the agency number, employee's last name.
  15. Determine at what level the employee should be paid. You may have to use more than one calculation method if the eligibility changes within the current pay period.
  16. Enter the pay period in which you are paying IN THE 100% CALCULATION METHOD AREA (this information will filter to the other calculation methods).
  17. Enter the number of workdays (including holidays) in the period IN THE 100% CALCULATION METHOD AREA.
  18. Enter the total number of days in the pay period (calendar days) and scroll to the appropriate calculation method.
  19. Enter the number of hours the employee is due for short-term disability in the pay period.
  20. Enter the number of hours the employee is due for regular payment (hours physically worked) if applicable.
  21. Enter the employee's beginning annual leave balance for the pay period, usage for the period, and the rate at which they accrue.
  22. Enter the employee's beginning disability credits balance for the pay period, usage for the period, and any adjustments in the accrual section.
  23. Determine if the employee is eligible for the benefits listed.

Once this information is completed, the spreadsheet will automatically calculate the payments due the employee for the pay period. Print the worksheet and do not save the file.

A summary sheet will be printed as well. This summary sheet provides the grand total payments that need to be entered into CIPPS.