Fillable SICK LEAVE OPTION ELECTION (New Mexico Institute of Mining & Technology)

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SICK LEAVE OPTION ELECTION (New Mexico Institute of Mining & Technology)

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SICK LEAVE OPTION ELECTION
Employees at New Mexico Tech have the option of choosing between two maximum accumulations of
sick leave. The options are:
OPTION 1: 600 hours maximum
OPTION 2: 1040 hours maximum
Once an employee has reached their maximum, they will be paid for up to 120 hours of sick leave at
one-half of their regular rate of pay for unused sick leave accrued after reaching their selected
maximum. This election is irrevocable.
________________________________OPTION SELECTION__________________________________
I select OPTION ____ for a maximum sick leave time accumulation of ________
hours.
___________________________________ ________________________________
Print Employee Name Banner ID
___________________________________ ________________________________
Employee Signature Date
Employer Section
___________________________________________________________________________________
Total Sick Leave Available _______________
Excess Over Selected Maximum ______________
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SICK LEAVE OPTION ELECTION (New Mexico Institute of Mining & Technology)

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Completed 16 August 2021

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