The Sick Leave Donation Form provided by the University of Toledo Professional Staff Association (PSA) outlines a structured pathway for employees to contribute to a Sick Leave Bank, designed to aid colleagues encountering personal catastrophic illness or injury and have depleted their vacation and sick leave balances. This form serves as a commitment from both part-time and full-time employees, allowing them to donate 8 or 16 hours of their sick time respectively, thereby granting them membership to this bank. The instructions require the donor to authorize the Payroll/Human Resources Department to deduct the indicated hours from their sick leave balance, which will then be available for use by any member of the PSA Sick Leave Bank in need. Importantly, this donation is a one-time action, ensuring membership for the duration of employment at the University without the need for annual re-enrollment. However, it's made clear that participation in this program is purely voluntary, with procedures in place for those wishing to cancel their membership or for prospective members looking to join during the open enrollment period. The form, alongside providing a structured method for donation, functions as an essential piece of the university's broader support network, fostering a communal culture of care and support amongst the staff.
| Question | Answer |
|---|---|
| Form Name | Sick Leave Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | sick leave document, sick pay form, sick pay form pdf, sick leave template form |