Get Voluntary Shared Leave Application - Nc Department Of Health And ... - Ncdhhs

The Voluntary Shared Leave Application is a vital document for individuals seeking to receive donated leave. This guide will provide a clear and supportive walkthrough for filling out the form online, ensuring that every user can navigate the process with ease.

Follow the steps to successfully complete the application.

1. Click the ‘Get Form’ button to access the application and open it in your preferred editing tool.
2. Begin by entering the name of the recipient in the designated field. This should typically be the person who will be receiving the donated leave.
3. Next, provide the BEACON personnel number of the recipient. This unique identifier helps the agency manage applications accurately.
4. In the division/section field, specify the department where the recipient is employed, and include their position title in the corresponding section.
5. Indicate whether the leave is for the employee or for an immediate family member. If it is for a family member, elaborate on the relationship to ensure clarity.
6. Attach a physician statement to detail the general medical condition necessitating the leave. This information is crucial for validating the application.
7. Fill in the approximate period of participation in the shared leave program, which helps in planning for leave donation scheduling.
8. Report the current vacation, sick, and bonus leave balances accurately in the specified fields to provide a complete picture of the recipient's leave status.
9. In the employee’s authorization section, the recipient must sign and date to confirm their request for leave donations and authorize disclosure of their need.
10. List any specific state agencies that should be contacted for leave donations, as well as names of employees to reach out to if necessary.
11. Finally, input the HR contact information, including the name and phone number, for correspondence related to the leave application.
12. Once all sections are completed, review the form carefully for any errors or omissions. You can then save changes, download, print, or share the document as needed.

Start completing your Voluntary Shared Leave Application online today to ensure a smooth process.