Fillable SICK LEAVE DONATION FORM (City and Borough of Wrangell, Alaska)

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SICK LEAVE DONATION FORM (City and Borough of Wrangell, Alaska)

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SICK LEAVE DONATION FORM
CITY & BOROUGH OF WRANGELL
Per the City & Borough of Wrangell Personnel Policy, in case of emergency or hardship suffered by any
employee, fellow employees shall be allowed to transfer up to ten (10) days of accrued sick leave to any
afflicted employee of the Borough providing that the afflicted employee has used all of their sick and vacation
leave.
Effective Date
Donation Information:
Number of Sick Hours to Donate:
Donated To:
Department:
I understand that my sick leave balance will be decreased by the amount of the donation stated above. I
further understand that my donation will not be accepted if the person to whom I am donating does not meet
the balance requirements stated in the Personnel Policy.
Employee signature:
Date:
Dept. Director Signature:
Date:
-------------------------Finance & Human Resources Dept. Use Only--------------------------------
Entered into Electronic Payroll System on: ________________ Initials: _________
Donor
Recipient
Processed in Timesheets
Donor Name:
Position
Department
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SICK LEAVE DONATION FORM (City and Borough of Wrangell, Alaska)

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Completed 2 July 2021

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