HomeMy WebLinkAbout*Other - Sheriff & Jail (002)GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
To: All Grant County
From: Board of County Commissioners4o
Date: September 24, 2019
Re: Sick Leave Donation Request
The Board of County Commissioners has received and approved a request to
initiate the Sick Leave Donation Policy.
Barbara Buchmann (ID #19-02) of the Sheriffs Office -Corrections 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 sob submitting to Accounting the attached,
completed form. The deadline for sick leave donation forms to be received in
Accounting is Friday, October 4, 2019.
1
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: Sheriffs Office
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 County
Sick Leave Donation Form
Donor Certification
CONFIDENTIAL
To: Accounting
Frorro (Employee Name, Department)
Date
Re: Request to Donate Sick Leave
Please process according to Grant County Sick Leave Donation Policy, 803.
STATEMENT OF DONATION: I hereby agree to donate the following amount of my accrued sick
leave in response to the request to donate sick leave to Barbara Buchmann of the Sheriff's Office
- Corrections (ID # 19-02).
1 understand this donation is irrevocable. I understand that if a portion of my donation exceeds
the maximum the eligible employee may receive, that portion will be returned to me. I understand
that unused portions of the donated sick leave will be returned to me on a pro -rated basis,
according to the number of employees who donated.
DONATION:
I agree to donate a total of days and hours (minimum 2
hour increment) to be deducted from my sick leave balance. I understand that/ must retain
a sick leave balance minimum of 10 days or 80 hours after the donation in order to be
eligible to donate.
Name
Department
Title
Date
Accounting Certification
STATEMENT OF CERTIFICATION: I certify that the above employee has, after the donation is
made, a sick leave balance of at least ten (10) days, or eighty (80) hours.
Name Title
Department: Accounting Date