Get Shared Sick Leave Program Request For Donation Form - Missouri ...

Filling out the Shared Sick Leave Program Request For Donation Form is an essential step for individuals seeking assistance through this program. This guide provides clear instructions on how to accurately complete the form online, ensuring that all necessary information is submitted correctly.

Follow the steps to complete the donation request form successfully.

1. Press the ‘Get Form’ button to access the Shared Sick Leave Program Request For Donation Form and open it in your preferred editor.
2. Begin by filling out the Employee Information section. This includes entering your last name, first name, employee number (G#), job title, department, work phone, and contact phone.
3. Proceed to the Leave Information section. Carefully input the dates you will be on leave and the number of donated hours you are requesting, remembering that the maximum is 150 hours.
4. Indicate whether your leave is for issues related to yourself or an eligible family member. Select 'Self' or 'Family Member' (spouse, child, or parent) as applicable.
5. Answer the question regarding prior requests for Shared Sick Leave within the past 12 months by selecting 'Yes' or 'No.' If you selected 'Yes,' please indicate how many hours were donated to you.
6. Review the Terms section. Your signature below this section certifies your understanding of the conditions for receiving donated hours from the Shared Sick Leave Bank. Ensure you read all terms carefully before proceeding.
7. Sign the form in the designated area and enter the date of signing. This confirms your application and acceptance of the terms listed.
8. Finally, submit your signed and completed form to Human Resources either by emailing mmiller42@missouriwestern.edu or sending a hard copy via interoffice mail.

Complete your Shared Sick Leave Program Request For Donation Form online today to ensure you receive the assistance you need.