University Place School District
Shared Leave Donation
DONOR: Please complete this form to donate annual (vacation) or sick leave hours to a University Place employee and
send it to the Payroll Office.
Donor Name
Donor Social Security #
Donor Position
Number of Days Hours Donated
Name of Employee donation is being made to:

I want my donation to be kept confidential

I voluntarily donate vacation leave hours

I voluntarily donate sick leave hours.
I understand that my donation will be utilized in the order that it is received. I understand that these donated hours will be
deducted from my current vacation or sick leave balance
as used by the recipient.
Signature
Date
Regulations regarding Shared Leave Donation:
Donation of Annual (vacation) Leave (WAC 392-126-080):
Supervisory and 260-day classified employees.
An employee may donate annual leave using the following criteria:
1. The employee may donate any amount of annual leave provided that donation does not cause the
employee's annual leave balance to fall below ten (10) days as of the date of the transfer.
2. Employees may not donate excess annual leave that the donor would not be able to take because
of an approaching date after which the annual leave cannot be used.
3. The donated annual leave must be given voluntarily. No employee shall be coerced, threatened,
intimidated, or financially induced into donating annual leave.
4. Donated annual leave shall be in four-hour increments. Leave may be withdrawn by eligible employees
on an hour-for-hour basis regardless of the individual's rate of pay.
Donation of Sick Leave (WAC 392-126-085):
Non-supervisory certificated and classified employees.
An employee may donate sick leave using the following criteria:
1. The employee must have accrued more than twenty-two (22) days of sick leave.
2. Employees may not donate an amount of sick leave that will result in his or her sick leave account
going below twenty-two days at the date of transfer.
3. All donated leave must be given voluntarily. No employee shall be coerced, threatened, intimidated,
or financially induced into donating sick leave.
Shared Leave Donation
8/2009