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Office of Personnel
Services and Benefits
The State Employees' Leave Donation
Program and Leave Bank was established on June 9, 1995.
The purpose of the Leave Bank is to
provide leave for an eligible State employee who meets all of
the following criteria:
- exhausted all accrued leave;
- has a "serious or prolonged medical
condition";
- has a meets standards or above PEP
evaluation within the last two years;
- has had no disciplinary action within
twelve months of the request for leave; and
- has
not been on a one-day medical certificate requirement within
the last two years of the date of the request.
Employees desiring to become members
of the Leave Bank must complete the Bank's MS 401 form during
the State's Health Benefits/Leave Bank "Open Enrollment". New
enrollees must serve a 90-day waiting period to be eligible to
make application for leave from the Leave Bank. A single donation
provides the donating employee a two-year membership. New employees
must join within the first sixty days of their entry-on-duty date
or they may join during the next open enrollment period.
It is important to know that approval of leave from the Bank is
discretionary and that leave may be denied for any reason which
is consistently applied and that is not illegal or unconstitutional.
Interested employees should contact their personnel representative.
Leave
Bank Guidelines - Procedures for use of the Leave Bank
Leave
Bank (FAQ) - Frequently Asked Questions
MS401
Leave Bank Donation Form (printable, read-only)
MS401
Leave Bank Donation Form (fillable form)
MS402
Leave Bank Medical Request Form (printable, read-only)
MS403
Employee-To-Employee Leave Medical Request Form (printable,
read-only)
MS405
Leave Bank Employee to Employee Donation Form(printable, read-only)
MS406
Leave Donation Appeal Form (printable, read-only)
MS408
Leave Bank Request Form (printable, read-only)
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