1. A. Each agency shall establish two separate leave transfer pool accounts, a sick leave transfer pool and an annual leave transfer pool.

2. B. Records and Forms

   1. 1. Donation Request Form - The Donation Request Form shall include:

      1. a. The employee’s name;
      2. b. The employing agency;
      3. c. The employee’s State title;
      4. d. The employee’s hourly rate of pay;
      5. e. The number of days/hours of the leave donor’s earned sick or annual leave;
      6. f. The number of days/hours of sick or annual leave the employee wishes to donate to the appropriate leave transfer pool;
      7. g. The date of the donation; and
      8. h. The leave donor’s signature.

   2. 2. Recipient Request Form - The Recipient Request Form shall include:

      1. a. The employee’s name;
      2. b. The employing agency;
      3. c. The employee’s State title;
      4. d. The employee’s hourly rate of pay; and
      5. e. A brief description of the nature, severity, and anticipated duration of the medical, family, or other hardship situation affecting the employee.

   3. 3. Leave Restoration Form - The Leave Restoration Form shall include:

      1. a. The name of the leave recipient;
      2. b. The type of leave transferred (sick or annual);
      3. c. The amount of transferred leave used;
      4. d. The date the leave recipient’s medical emergency or employment terminates; and
      5. e. The amount of transferred leave (sick or annual) being restored to the respective pool.

   Each agency shall maintain the following records:

HISTORY: Added by State Register Volume 26, Issue No. 1, eff January 25, 2002. Amended by State Register Volume 34, Issue No. 5, eff May 28, 2010; State Register Volume 40, Issue No. 10, eff October 28, 2016; SCSR 48-9, eff September 27, 2024.