HomeMy WebLinkAbout*Other - Human ResourcesGrant County Human Resources
Recommendation Memorandum
rill 0* Board of County Commissioners
V I
From * Kirk R. Eslinger, Director — Organizational Svcs
RE: Sick Leave Donation Program
Req# : 24-01
Date: 01/12/2024
A
Dept: Public Works
CC* Castro, Sam; Booth, Andy
Request Summary:
r
An employee from the above referenced department has requested sick leave donation for 200
hours., not to exceed the allowable amount. This request was made contingent upon the approval of
his state PFML application.
0
HR Director Recommendation.
As required by policy, I have reviewed this request along with
policy language.
Donations must be received by close of business on:
The donation announcement to Grant County staff NAII be sent:
Analysis Summary:
Z I Recommend Approval
[] I do not Recommend Approval
Friday, February 2, 2024 by 5Pm
Z Anonwnously
With the Employee's Name:
The employee suffers from an illness, *injury, impairment or physical or mental
I #. Op
conaition, which is extraordinary in nature (i.e. life threatening or causes long-term or Yes
permanent physical damage which could preclude the employee from returning to [:]No
N-vork).
The employee is a regular full-time or regular part-time employee who has 'worked for Yes
the County for at least twelve consecutive months prior to the request.❑ No
The employee has exhausted all sick leave options, including annual leave and 21 Yes
compensatory leave options. n No
The employee has approval from his/her superyY
isor that the proposed use of sick leave Z
0 es
is justified.❑ No
The employee has previously abided by leave -of absence policies. 23 Yes
[:1 No
Grant County Human Resources ~ PO BOx 37 ~ 35 C Street NW ~ Ephrata, WA 98823 ~ (509) 754-2011
GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
To: All Grant County Employees
From: Board of County Commissioners
Data January 19, 2024
Re: Sick Leave Donation Request
The Board of County Commissioners has received and approved a request to
initiate the Sick Leave Donation Policy.
An employee (ID #24-01) of Grant County Public Works is suffering from an
illness, injury, impairment or physical or mental condition which is extraordinary
in nature (life threatening or causing long term or permanent damage) and has
or will soon exhaust all leave balances.
Any County employee who is interested in donating a portion of their own sick
leave to this employee may do so by submitting to the attached, completed form
to the Payroll Administrator, Rachel Jorgensen via interoffice mail or emailed to
rjorgensen�,�grantcount)wa.c�ov. The deadline for sick leave donation forms to
be received in Accounting is Friday, February 2, 2024 by 5:00 p.m.
Employees who are eligible to accrue sick leave, may donate sick leave,
according to the following criteria:
• Sick leave may not be donated in less than two (2) hour increments.
• Employees must retain at least 10 (ten) days or eighty (80) hours in their
own sick leave balance after the donation.
Cc: Public Works
Accounting
Human Resources
"To meet current and future needs, serving together with public and private entities, while fostering a
respectful and successful work environment."
Grant Cou
nty
Sick Leave Donation Form
Donor Certification
CONE/DENT/AL
To: Accounting
From:
Re: Request to Donate Sick Leave
STATEMENT OF DONATION: I hereby voluntarily agree to donate a portion of my accrued sick
leave in response to the request to donate sick leave to an employee in the
department/office.
I understand this donation is irrevocable. I understand that Accounting will take from my
donation, in two (2) hour increments, the whole or a portion of my donated leave that will assist in
meeting the requested leave, or the maximum allowed leave, whichever comes first.
Should all or part of my intended donation not be needed to meet the request, it shall not be taken
from my balance.
I am donating a maximum of hours (2 hour minimum increment) to be
deducted from my sick leave balance and donated to Requestor No. (See
announcement).
Print Name:
Signature:
Department Date
Accounting Certification
STATEMENT OF CERTIFICATION: I hereby certify that the above employee will, after the
donation is made, retain a sick leave balance of at least eighty (80) hours.
Name Title
Accounting Date
SUBMIT FORM TO:
PAYROLL ACCOUNTING
OFFICE, ROOM 309
3RD FLOOR OF COURTHOUSE ANNEX
Form GC 014 Revised 06/24/2022