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Document
Establishing an Effective Supplier Diversity Program
Year Created: 2022
DOCUMENT
FORM - Leave Donation FORM 2009
- YEAR CREATED: 2009
- ENTITY TYPE: County
- TYPE OF DOCUMENT: FORM - Form
- Management
- Policies and Procedures
The document is a Leave Donation Form that allows employees to donate their annual or sick leave to another employee who has exhausted their leave balances due to an incapacitating illness or disability. The form consists of three sections.
Section 1 is to be completed by the employee donating leave. The employee provides their name, department, and the number of hours they wish to donate. They acknowledge that once the donated hours are used, they cannot recover them unless reimbursed by Worker's Compensation. The employee can also choose to donate all or part of their annual or sick leave balance upon separation from County service, forfeiting any leave payout of the donated hours.
Section 2 is to be completed by the Department/Agency Head of the receiving employee. They concur with the donation and its use, contingent upon receipt and approval of a Leave Request Form. They sign the form and forward a copy to Personnel.
Section 3 is to be completed by the Timekeeper in the receiving employee's Department/Division. They enter the receiving employee's ID number, the number of hours used, the dates the leave was used, and the date the form was forwarded to Finance. Once all donated leave is used, a copy of the form is sent to the donating employee. Unused leave donation forms should be returned to the donating employee once the receiving employee returns to work.
The document also provides conditions and instructions for the leave donation process. Donated leave can only be used for authorized incapacitating illnesses or disabilities. Donations must be voluntary and made from accrued leave. Donated leave cannot be recovered once used, unless reimbursed by Worker's Compensation. Leave must be donated in one-hour increments, and any annual leave donated will be converted to sick leave. Donated leave cannot be used retroactively or to reduce a negative leave balance.
The instructions outline the steps for completing the form and the responsibilities of the donating employee, the Department/Agency Head of the receiving employee, and the Timekeeper. It also emphasizes the need for confidentiality regarding the donating employee's identity unless they choose to make their donation known personally.