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Get Form Of Applocation For Leave

Evidenced by the time and date stamp on the application form once received and processed by Human Resources. At the end of the fiscal year unused transferred sick leave shall revert to the authorizing employees whose leave was not used H. TRANSFER OF SICK LEAVE APPLICATION FORM Pursuant to School Board Policy 3430. 08 any full or part time employee of the District may authorize the transfer of accrued earned sick leave to another District employee who is eligible to receive sick leave benefits. The authorizing employee must retain a minimum of five 5 days of accumulated sick leave D. Transferred sick leave may only be used for the receiving employee s approved sick leave absences. evidenced by the time and date stamp on the application form once received and processed by Human Resources. Please return this form to Dan Davidson Benefits Specialist via fax 239-377-0401 or pony. EMPLOYEE TRANSFERRING SICK LEAVE NAME YES NO NUMBER OF HOURS TRANSFERRING EMPLOYEE RECEIVING SICK LEAVE EMPLOYEE ID NUMBER I have read and understand School Board Policy 3430. 08 regarding my request to transfer my sick leave. Signature of Employee Transferring Sick Leave Date FOR HUMAN RESOURCES PAYROLL ONLY Approved LOA Dates Payroll Information Initials No* SICK LEAVE TRANSFER TO ANOTHER DISTRICT EMPLOYEE The transfer of sick leave is subject to the following limitations and conditions A. The receiving employee must provide documentation to Dan Davidson Benefits Specialist from a treating physician of the need for a minimum of three 3 days of sick leave beyond the employee s accumulated sick leave time received from the sick leave bank prior to using transferred sick leave C. The authorizing employee must retain a minimum of five 5 days of accumulated sick leave D. Transferred sick leave may only be used for the receiving employee s approved sick leave absences. evidenced by the time and date stamp on the application form once received and processed by Human Resources. At the end of the fiscal year unused transferred sick leave shall revert to the authorizing employees whose leave was not used H. Sick leave shall be transferred in hourly increments I. Chaining of unused transferred sick leave is not permitted in other words the receiving employee CANNOT donate the unused transferred sick leave to another employee. The transferred sick leave must be used pursuant to the original approved application for transfer and the unused portion shall revert to the donor pursuant to F above. Davidson Benefits Specialist by close of business on the first day of the payroll period as published in the District s Compensation Schedule in which the transferred sick leave will be used and paid* K. Please return this form to Dan Davidson Benefits Specialist via fax 239-377-0401 or pony. EMPLOYEE TRANSFERRING SICK LEAVE NAME YES NO NUMBER OF HOURS TRANSFERRING EMPLOYEE RECEIVING SICK LEAVE EMPLOYEE ID NUMBER I have read and understand School Board Policy 3430. 08 regarding my request to transfer my sick leave. Signature of Employee Transferring Sick Leave Date FOR HUMAN RESOURCES PAYROLL ONLY Approved LOA Dates Payroll Information Initials No* SICK LEAVE TRANSFER TO ANOTHER DISTRICT EMPLOYEE The transfer of sick leave is subject to the following limitations and conditions A.

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