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Get Catastrophic Leave - Transfer Authorization Form - Personnelboard

Te ) Work ( 5. Jurisdiction 6. 7. Employee Classification Zip ) Department 8. Rate of Pay Hours to be Donated to Beneficiary Beneficiary Employee Information (Increments of 8 hrs) Maximum Donation of 240 hrs to be used Jan - Dec 9. Receiving Emp. Name 12. Number of hours to be donated: (Sick) Hours (Vacation) Hours 10. Social Security 11. Beneficiary s Employer Certifying of Donating Employee 13. I certify that I hereby donate the above noted number of hours leave to the benefici.

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