Applying to Receive Donated Leave
In order to be eligible to receive donations of annual leave, an employee must meet the following conditions:
The employee must have a medical emergency involving a medical condition of the employee or a member of the employee's immediate family;
In the case of a medical emergency involving a medical condition of the employee, the employee must have exhausted all sick leave and all annual leave as well as any other accrued paid leave to which the employee is entitled;
In the case of a medical emergency involving a medical condition of a member of the employee's immediate family, the employee must have exhausted all annual leave and the sick leave allowance for members of the employee's immediate family as provided in the Administrative Rule of the Division of Personnel, (143CSR1);
The medical condition of the employee or the member of the employee's immediate family must be verified in writing by a physician or medical practitioner as requiring the absence of the employee from work for at least one half a month continuously after the exhaustion of available leave as specified in sub-divisions 3.1.b. and 3.1.c. of this section. The Director of Personnel has proscribed the criteria for the physician's or medical practitioner's verification;
The employee must apply to receive donated leave according to procedures established by the Director of Personnel.
The employee must not be receiving or be eligible to receive compensation for his or her absence from work from the Workers' Compensation Fund, nor may the employee be receiving Social Security Disability benefits for his or her absence from work.
An employee who thinks he/she may be eligible for leave donations must first:
Complete Part I (Applicant Information) of the form titled Application to Receive Donated Leave and;
Have his/her physician or medical practitioner complete Part III of the form. If the employee is applying to receive donated leave to care for an ill or injured member of their immediate family, the physician or medical practitioner for the family member must complete Part III of the form.
Apply for a Leave of Absence Without Pay using the prescribed DOP-L2 form to the appointing authority in accordance with the Administrative Rule of the Division of Personnel, (143CSR1)
Once both Parts I and III have been completed, the employee must submit the approved Application for a Leave of Absence Without Pay (DOP-L2) and Application to Receive Donated Leave to his/her immediate supervisor or the person responsible for keeping his/her leave records for an eligibility determination.
NOTE: If the employee, because of his/her medical condition, is unable to complete the application him/herself, it may be completed by an immediate family member or by the appointing authority.