Family Leave Pool - Donation Form
Donating Sick/Vacation Leave Pool Hours per state government code Sec. 661.023
 (a)  A state employee may contribute to the family leave pool one or more days of the employee's accrued sick or vacation leave.
(b)  The pool administrator shall credit the family leave pool with the amount of time contributed by a state employee and deduct a corresponding amount of time from the employee's earned sick or vacation leave as if the employee had used the time for personal purposes.
(c)  A retiring state employee may designate the number of the retiring employee's accrued sick or vacation leave hours to be used for retirement credit and the number of the retiring employee's accrued sick or vacation leave hours to be donated on retirement to the sick or family leave pool.

Employees who wish to donate leave hours to the pool will need to submit the Family Leave Pool Donation Form. Reduction of sick/vacation leave hours will take place after verification has been conducted with employees department administrator.  **The donor may be subject to taxation on donated hours - please read Section 2 THOROUGHLY.**
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Email *
Employee Name *
Employee ID # (6 digits) *
Employee phone number and preferred email address *
Department and Department Contact *
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