AUTHORIZATION TO TRANSFER ANNUAL LEAVE
I, the undersigned, authorize the transfer of annual leave to the below named employee/family member.
EMPLOYEE
TRANSFERRING
LEAVE:
Department
EMPLOYEE RECEIVING LEAVE:
AMOUNT OF ANNUAL LEAVE BEING TRANSFERRED:
HOURS
Employee Transferring
Name
Department
Name
Date
Employee Signature
Employee Receiving Leave Balances Prior to Transfer
***** Leave will only be transferred to the employee if the employee has already exhausted all available leave
first. Please verify with Payroll first that all leave has been exhausted.*****
ADMINISTRATION
Manager’s Name
(of Employee Transferring Leave)
A) Manager’s Signature Date
B) Manager’s SignatureManager’s Name
(of Employee Receiving Leave)
Date
C) QML Coordinator’s Signature Date
D) Managing Director’s Signature Date
FINANCE
(The amount of hours/days donated, will be in accordance with the donor’s rate of pay)
Rate of Pay: Amount:(x) Hours =
(:) Rate: =
Employee Transferring Leave: Employee Receiving Leave:
Total hours transferred:
Payroll Manager Name Payroll Manager Signature
Date
6406 Marine Dr, Tulalip, WA 98271 360-716-4000
TDS-31246 (10/2019)
HOURS
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