Voluntary Sick Leave Donation (Donor Form)

School Board Policy and the Collective Bargaining Agreements provide for a Pasco County Schools employee to donate accrued sick leave to another employee provided the recipient will be absent for a qualifying reason (cannot be used for personal leave charged to sick leave), has used all of his/her paid sick and/or vacation leave and has submitted the necessary paperwork to Leaves Administration, HREQ.

Section I: Donor (Employee Donating Sick Leave Days)
Employee Donor Name Employee Donor Name First Last
Munis ID Number
Employee's Email Address
School/ Department
Number of days being donated (minimum of 1 day increments)
Check the box below if you are related to the recipient

Check the box below if you are related to the recipient Related to recipient
I authorize the transfer of the stated amount of sick leave from my sick leave balance to employee named below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Section II: Recipient (Employee to Whom You Would Like to Donate Sick Leave)
Recipient Employee's Name Recipient Employee's Name First Last
School/ Department

Voluntary Sick Leave Donation (Donor Form)

Voluntary Sick Leave Donation (Donor Form)

Section I: Donor (Employee Donating Sick Leave Days)

Section II: Recipient (Employee to Whom You Would Like to Donate Sick Leave)