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Request for Leave Donation Form

Eligible recipient employees must be in a leave-accruing appointment. Each recipient who receives donated leave will be paid at their normal rate of compensation. Plan hours may only be applied to absences related to the COVID-19 emergency as defined above. Hours will be proportionally awarded based on FTE, in increments of up to 80 hours, based on a 1.0 FTE. Upon exhaustion of all available leave accruals, a leave-accruing employee may request up to 80 hours, which after award, can be used over multiple payroll periods to provide prolonged income or to cover payroll-deducted benefit premiums. Employees may make multiple requests up to the established limit; however, all requests are considered in the order in which they are received. A recipient may not convert leave received under the Plan into cash in lieu of using the leave.