Office of Human Resources

COVID-19 Shared Leave Donation Form

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Thank you for your consideration in donating leave to our COVID-19 Shared Leave Bank. Leave donated through this program will support university employees who are unable to work due to certain COVID-19-related reasons, who are receiving less than full paid leave, and who have exhausted all of their own personal leave balances.

You may donate any form of your own accrued leave listed below and recipients can use all forms of donated leave interchangeably. You may donate any amount of leave to the bank, provided that your donation does not bring your own accrued vacation or sick leave balances below 40 hours each.

Any donated leave that is not used by a recipient prior to March 31, 2021 will be returned to donors’ leave balances on a prorated basis.

Thank you again for your support.

Personal Information
Type of Leave to be Donated
Leave Balances may be checked online through Employee Self-Service.
SIK hours
VAC hours
VABO hours
COMP hours
ETC hours
Advisory Note
ADVISORY NOTE: Donation of Sick Leave could affect your retirement. At retirement, a member of the Teachers’ and State Employees Retirement System (TSERS) with an earned Sick Leave balance receives an additional month of service credit for each 20 days or portion thereof. The additional service credit increases the retirement benefits for the remainder of the life of the retiree.