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Get the free Catastrophic Leave Program Donation Form - csudh

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This form allows employees to donate sick or vacation leave hours to a colleague suffering from a catastrophic disability.
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How to fill out catastrophic leave program donation

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How to fill out Catastrophic Leave Program Donation Form

01
Obtain the Catastrophic Leave Program Donation Form from your HR department or online portal.
02
Read the instructions carefully to understand the requirements for donation.
03
Fill in your personal information, including your name, employee ID, and department.
04
Indicate the number of hours you wish to donate in the designated field.
05
Sign and date the form to certify your donation.
06
Submit the completed form to your HR department or designated office.

Who needs Catastrophic Leave Program Donation Form?

01
Employees who are facing a serious medical condition and have exhausted their own leave balance.
02
Colleagues who wish to support fellow employees in need of additional leave.
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Employees who have exhausted their leave credits and must miss work due to a prolonged illness or injury (including that of a family member) may request catastrophic leave. In such cases, the department will set up a Catastrophic Leave bank for that employee to receive donated leave from other State employees.
Catastrophe pay — often referred to as disaster pay or emergency pay — is a form of compensation provided to employees who are required to work during or immediately after a major disruptive event, such as a natural disaster, public health crisis, or other large-scale emergency.
Catastrophic Leave permits salary and benefit continuation for employees who have exhausted all paid leave because of their own serious injury or illness, the need to care for a seriously injured or ill family member, or they reside in a county where the Governor has declared a state of emergency because of a natural
National Labor Relations Act (NLRA). Following a natural or other disaster, the employer may be required to make certain changes in the workplace if employees reasonably believe the workplace to be unsafe. OSHA and the NLRA both give employees the right to refuse to work in conditions they believe are unsafe.
How much paid sick leave am I entitled to take and be paid for? In general terms, starting on January 1, 2024, the law requires employers to provide and allow employees to use at least 40 hours or five days of paid sick leave per year.
The employee donating the leave may not claim an expense, charitable contribution, or loss deduction for any leave donated. The IRS has provided guidance on what constitutes a bona fide employer-sponsored leave-sharing arrangement under the medical emergency exception.
Leave donation or leave sharing programs allow employees to donate accrued paid time off (PTO), vacation or sick leave to a general pool to be used by fellow employees who experience medical emergencies or who are affected by major disasters and have exhausted all paid leave available to them.
Donating PTO is a great way to encourage employees to donate because it enables them to contribute without having to provide cash out of pocket. It is also a good way for a company to reduce its liability for having too much unused PTO on the books.

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The Catastrophic Leave Program Donation Form is a document that allows employees to voluntarily donate their unused leave to assist fellow employees who are facing a catastrophic event.
Employees who wish to donate their leave to the Catastrophic Leave Program are required to file the Catastrophic Leave Program Donation Form.
To fill out the Catastrophic Leave Program Donation Form, employees must provide their name, employee ID, the number of leave hours they wish to donate, and sign the form to indicate their consent.
The purpose of the Catastrophic Leave Program Donation Form is to facilitate the transfer of leave hours from one employee to another to help those facing serious medical conditions or extraordinary circumstances.
The information that must be reported on the Catastrophic Leave Program Donation Form includes the donor's name, employee ID, the number of hours to be donated, and a signature to confirm the donation.
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