Fillable Get File Group Id 4202574 (California Maritime Academy)

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Get File Group Id 4202574 (California Maritime Academy)

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CATASTROPHIC LEAVE DONATION FORM
Human Resources (11/2016)
☐ Please check here if you would prefer to remain anonymous
I authorize Human Resources to deduct the above hours from my account and transfer it to the employee named above.
Signature
FOR HR USE ONLY:
Date received in HR:
Date keyed:
______________ Pay Period
TO:
Marie Hernandez, Payroll Coordinator
Date:
FROM:
• I would like to donate the following number of hours to the employee named below as part of the
Catastrophic Leave Donation Program
• I understand that I may donate up to the maximum number of sick and/or vacation leave credits for my
Bargaining Unit. Leave credits may be donated in increments of one hour or more
Employee Category
Maximum Donation Hours
Academic Support (R04)
40
Confidential (C99)
40
CSUEU (R02, R05, R07, R09)
40
Excluded (E99)
40
Executives (M98)
40
Faculty (R03)
40
Management Personnel Plan (M80)
40
Operating Engineers (R10)
40
Physicians (R01)
16
Name of recipient employee:
Recipient’s Department:
Type and Number of hours to be donated:
☐
Sick Leave Hours: _____
☐ Vacation Hours: _____
Total Number of Hours Donated: ____
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Get File Group Id 4202574 (California Maritime Academy)

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Completed 18 July 2020

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