Making Application to Request Leave
An eligible employee may apply for sick leave pool hours by completing the “Sick Leave Pool Days Application”. An Attending Physician Statement must be attached to the sick leave pool request. If the employee is applying for disability benefits, a copy of the disability form may be attached in lieu of the Attending Physician Statement. The location human resources office provides these forms.
If the employee is requesting sick leave pool for a qualified family member, the employee must complete the “Sick Leave Pool Days Application” and provide supplemental information as follows:
- The relationship of the family member
- Where the family member resides
- A statement concerning to what extent and in what ways the immediate family member is dependent upon you
- Medical documentation by the Attending Physician-
The medical documentation should include the anticipated length of time the employee may be needed to provide personal care to the family member |
After review of the request and/or approval of the form by the location, the form is forwarded to the District Director of Human Resources. The form is reviewed for applicable benefits and eligibility.
If the employee is eligible and approved, the District Director of Human Resources determines the amount of days the employee can withdraw from the pool. The amount of approved days is withdrawn from the sick leave pool and assigned to the employee. The Location is notified of the approval, number of sick leave hours assigned, and shall deduct leave as applicable.
During the sick leave pool period, the employee will continue to accrue leave and benefits in accordance to their job classification. These days should be used up-front and then Sick leave pool is applied.
Returning Unused Sick Leave Pool Days
If the employee does not exhaust the leave during the episode for which sick leave pool was requested, the unused amount is returned to the sick leave pool. The location human resources office is responsible for notifying the District office when the employee returns to work. The employee upon return to work is not eligible to use unused amounts for an episode related to the original request or another episode during the same plan year, or for intermittent leave.
Contributing to the Pool
Full-time employees may contribute on a voluntary basis from earned sick leave. Faculty employees contribute to the pool annually from May 1 through June 1 and Professional Support Staff and Full-time administrators contribute annually in August. The contributions are made by completing the “Sick Leave Pool Contribution” form.
The employee can contribute a maximum of ten (10) days to the pool. This leave will be deducted from the employee’s earned sick leave by District Human Resources. The sick leave is credited to the pool with the amount of time contributed.