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CATASTROPHIC LEAVE ENROLLMENT AND CONTRIBUTION AUTHORIZATION FORM Employee Name (print): ___ Employee Number: ___ I hereby request participation in the City of Little Rock Catastrophic Leave Bank

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How to fill out catastrophic leave enrollment

01

To fill out catastrophic leave enrollment, follow these steps:

02

Obtain a catastrophic leave enrollment form from your HR department.

03

Fill out your personal information, including your name, employee ID, department, and contact details.

04

Specify the duration of leave you would like to enroll for.

05

Provide a detailed explanation of the catastrophic circumstances that require you to take leave.

06

Submit the completed form to your HR department for review and approval.

07

Await confirmation from HR regarding the status of your enrollment.

08

Once approved, adhere to the guidelines and procedures discussed with your HR department.

Who needs catastrophic leave enrollment?

01

Catastrophic leave enrollment is typically needed by employees who are experiencing severe personal or family circumstances that require them to take an extended leave from work.

02

These circumstances may include serious illnesses, disabilities, accidents, or other significant life events that prevent the employee from fulfilling their work duties.

03

Employees who have exhausted their regular leave options and require additional time off may also need to utilize catastrophic leave enrollment.

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What is catastrophic leave enrollment?

Catastrophic leave enrollment allows employees to donate leave hours to coworkers who are facing a medical emergency or major personal crisis.

Who is required to file catastrophic leave enrollment?

All eligible employees may choose to file catastrophic leave enrollment.

How to fill out catastrophic leave enrollment?

Employees can fill out catastrophic leave enrollment forms provided by their human resources department.

What is the purpose of catastrophic leave enrollment?

The purpose of catastrophic leave enrollment is to help support coworkers in need during difficult circumstances.

What information must be reported on catastrophic leave enrollment?

Employees must report the amount of leave hours they wish to donate and the recipient's name.

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