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Catastrophic Leave Donation Form

University Policy 6.9, Time Away from Work (excluding bargaining unit staff) allows regular staff members who have completed one year of service to voluntarily donate leave to other regular staff members within a college/unit, when a health‐related catastrophic event has been experienced. The conditions under which such donations may be made are outlined in the Catastrophic Leave Donation Policy.

This leave donation form will be retained in the college/unit for record-keeping purposes, along with the name and leave balance records of the recipient. The college/unit representative administering the leave donation program will ensure that the information on this form gets communicated to the central Payroll Office in a timely fashion. A copy of this form may be provided to the donor but should not be provided to the recipient out of respect for the confidential nature of the leave donation program.