Shared Leave Request Form

State:
Multi-State
Control #:
US-231EM
Format:
Word; 
Rich Text
Instant download

What is this form?

The Shared Leave Request Form is a document that allows employees to request voluntary shared leave from their coworkers. This form is specifically designed for situations where an employee needs to take time off due to a medical condition and is seeking donated leave hours from fellow employees. It differs from regular leave forms by focusing on the process of obtaining leave donations rather than simply requesting time off.

Main sections of this form

  • Employee identification section: Captures essential details of the requesting employee.
  • Leave request details: Specifies the number of hours requested and the medical condition requiring leave.
  • Use of donated leave: Outlines the requirement to exhaust all other leave types before utilizing donated leave.
  • Management approval: Includes space for management to approve the shared leave request.
  • Return of unused donated leave: Describes the process for returning excess hours to the donors if unused.

When to use this document

This form is used when an employee has exhausted their available paid and unpaid leave and is experiencing a medical condition that necessitates additional time off. It is particularly appropriate when coworkers are willing to contribute their leave hours to support the employee in need.

Who can use this document

This form is intended for:

  • Full-time employees who require additional leave due to medical conditions.
  • Employees who have exhausted their personal leave and need assistance from colleagues.
  • Employees participating in or wishing to participate in a shared leave program established by their employer.

Steps to complete this form

  • Enter your name and employee details in the identification section.
  • Specify the number of leave hours you are requesting from your coworkers.
  • Provide a brief description of your medical condition, if required.
  • Sign and date the form to validate your request.
  • Submit the completed form to your management for approval.

Notarization requirements for this form

Notarization is not commonly needed for this form. However, certain documents or local rules may make it necessary. Our notarization service, powered by Notarize, allows you to finalize it securely online anytime, day or night.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Avoid these common issues

  • Not exhausting all earned leave before submitting the request.
  • Failing to provide sufficient information regarding the medical condition.
  • Omitting necessary signatures or dates, delaying the approval process.

Advantages of online completion

  • Convenience: Complete and submit the form digitally from anywhere.
  • Editability: Easily modify the form if your circumstances change.
  • Reliability: Access updated templates drafted by licensed attorneys, ensuring compliance with legal standards.

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Shared Leave Request Form