PYRL-FERP48HrsSLCarryoverForm.pdf | Rev. 08/11/2014
CARRY-OVER
OF SICK LEAVE
HOURS INTO FERP
Date:
To: Payroll Office
Campus Zip 010
From:
Subject: CARRY-OVER OF SICK LEAVE HOURS INTO FERP
I,
, a retiring faculty member entering the Faculty Early Retirement
Program in AY
elect to carry over
hours of sick leave (Article 29.17 of the CBU
between the CSU board of Trustees and the CFA provides for a maximum carryover of 48 hours) into the
FERP appointment. I realize that this election will reduce my accumulated sick leave for service retirement
credit.
Signature of Retiring Faculty Member/Librarian/Counselor
Date
Chico State ID #
Retirement Date
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