Shared Leave Donation

Donating Employee Information:

Name:

Department:

Work Telephone:

E-mail (ex: jdoe@kumc.edu):

Classification: Classified Unclassified

Donating Hours:

A Classified or Unclassified Board of Regents* employee shall be eligible to donate vacation leave or sick leave to another employee if:

• The donation of vacation leave does not cause the accumulated vacation leave balance of the donating employee to be less than 80 hours, unless the employee donates vacation leave at the time of separation from state service.
• The donation of sick leave does not cause the accumulated sick leave balance of the donating employee to be less than 480 hours, unless the employee donates sick leave at the time of separation from state service.

*Unclassified Board of Regents employees may only donate sick leave.

Which leave hours would you like to donate?
Vacation (Unclassified Board of Regents may not donate vacation)
Sick Leave
How many hours would you like to donate?

Disclaimer:

I understand that my donation is voluntary and confidential. I understand that my leave balance will be decreased by the amount contributed. I understand this donation may affect the payout of sick leave upon retirement or the payout of annual leave upon any termination. I understand that the employee I'm donating to must be approved to receive Shared Leave.
By submitting this donation you are certifying that you are the person named on the donation form. Further that any and all information contained on the donation form is complete and accurate. Any material misrepresentation or inaccuracies may result in denial of eligibility or other sanctions.



If you have any questions about completing this form or Shared Leave, contact Lisa Brommer at 316-293-2615.