Sometimes our fellow employees need help in their time of need. We request that those who are willing to donate some of their leave credits use this form to contact administration to contribute towards the leave donation.

Your cooperation and kind action is very much appreciated.

Please enter a number greater than or equal to 1.

I hereby authorize the Personnel Office/Time and Attendance Unit to deduct from my vacation balance the number of days indicated above to be used as sick leave by the recipient named above. I understand that the days donated cannot be days I would otherwise love (over 300 hours), and I cannot donate credits if the donation would cause me to drop below a balance of ten (10) days of vacation as of the date this donation is submitted.

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