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Employee last four digits of SSN OPEN ENROLLMENT FOR Catastrophic Leave Pool Full time employees only October 8 November 2, 2016, Enrollment Form Name: First Middle Initial Last Mailing Address: Locality:
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What is open enrollment catastrophic leave?
Open enrollment catastrophic leave is a program that allows employees to voluntarily donate their accrued leave time to coworkers who are experiencing a catastrophic illness or injury.
Who is required to file open enrollment catastrophic leave?
Employees who wish to donate their accrued leave time are required to file for open enrollment catastrophic leave.
How to fill out open enrollment catastrophic leave?
Employees can fill out the open enrollment catastrophic leave form provided by their HR department and indicate the amount of leave they wish to donate.
What is the purpose of open enrollment catastrophic leave?
The purpose of open enrollment catastrophic leave is to provide support to coworkers facing serious health challenges by allowing them to use donated leave time for their recovery.
What information must be reported on open enrollment catastrophic leave?
Employees must report their accrued leave time and the amount they wish to donate on the open enrollment catastrophic leave form.
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