HomeMy WebLinkAboutPersonnel Action Request Recommendation - Human ResourcesGrant County Human Resources
� Recommendation Memorandum
TO: Board of County Commissioners
From: Kirk R. Eslinger, Director — Human Resources
RE: Sick Leave Donation Program
Req#: 19-o1
Date:
05/07/2019
Dept:
Public Works
CC:
Tincher, Jeff
Request Summary:
P"_ • day of
Board of County 1
Grant County, Washington
20
Approve Disapprove Abstain
Dist #1 Dist # 1 Dist # 1
Dist #21 1� Dist # 2 Dist # 2
Dist #3 Dist # 3 Dist # 3
An employee from the above referenced department has requested sick leave donation for 720
hours, not to exceed the allowable amount.
HR Director Recommendation:
As required by policy, I have reviewed this request along with ® I Recommend Approval
policy language. ❑ I do not Recommend Approval
Donations must be received by close of business on: 05/31/2019
The donation announcement to Grant County staff will be sent�-
'i;tWith the Employee's Name:
Analysis Summary: , i k"\ t
The employee' suffers from an illness, injury, impairment or physical or
mental condition, which is extraordinary in nature (i.e. life threatening or causes long- ® Yes
term or permanent physical damage which could preclude the employee from returning ❑No
to work).
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 ® Yes
compensatory leave options. ❑ No
The employee has approval from his/her supervisor that the proposed use of sick leave ® Yes
is justified. ❑ No
The employee has previously abided by leave -of -absence policies. ® Yes
❑ No
Grant County Human Resources — PO Box 37 — 35 C Street NW ~ Ephrata, WA 98823 ' X50 754 -foil C E I V E D
MAY - 9 2019
GRANT COUNTY COMMISSIONERS
Barbara Vasquez
From: Laurissa Perez
Sent: Monday, May 13, 2019 10:22 AM
To: Barbara Vasquez
Subject: Sick Leave Donation Request # 19-01, on May 14, 2019 Agenda
Good morning Barb,
Hopefully this email is sufficient documentation for official records.
Sick Leave Donation Request # 19-01 is on the BOCC Agenda for review on Tuesday May 14, 2019.
Please include the requestor's name in the County -wide announcement if this request is approved by the
Board of County Commissioners.
The name to add is: Cameron Melseth.
If you need anything else please let me know.
Thank you for your assistance with this!
Laurissa Perez
Benefits & Payroll Specialist
Grant County Human Resource Department
PO Box 37
Ephrata, WA 98823
Email: Perez grantcountywa.gov
Business: 509.754.2011 ext 4903
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GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
Memo
To: All Grant County
From: Board of County Commissioners
Date: May 14, 2019
Re: Sick Leave Donation Request
The Board of County Commissioners has received and approved a request to
initiate the Sick Leave Donation Policy.
Cameron Melseth (ID #19-01) 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 Accounting the attached,
completed form. The deadline for sick leave donation forms to be received in
Accounting is Friday, May 31, 2019.
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 County
Sick Leave Donation Form
Donor Certification
CONFIDENTIAL
To: Accounting
From (Employee Name, Department)
Daft
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 Cameron Melseth of Public Works (ID #
19-01).
I 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:
1 agree to donate a total of days and hours (minimum 2
hour increment) to be deducted from my sick leave balance. I understand that 1 must retain
a sick leave balance minimum of 10 days or 80 hours after the donation in order to be
eligible to donate.
Name Title
Department 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
rtment: Accounting Date