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Department of Transformation and Shared Services Office of Personnel ManagementCatastrophic Leave 80Hour Waiver Determination Personnel NumberEmployee Name (Last, First, Middle Initial)Application
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How to fill out catastrophic leave waiver form
How to fill out catastrophic leave waiver form
01
Obtain the catastrophic leave waiver form from your employer or human resources department.
02
Fill out the requested personal information such as name, employee ID, department, and contact information.
03
Indicate the reason for requesting catastrophic leave and provide relevant details or documentation.
04
Sign and date the form to acknowledge your agreement to the terms and conditions.
05
Submit the completed form to the appropriate party for review and approval.
Who needs catastrophic leave waiver form?
01
Employees who are experiencing a serious medical condition or caring for a qualified family member with a serious health condition may need to fill out a catastrophic leave waiver form.
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What is catastrophic leave waiver form?
The catastrophic leave waiver form is a document that allows employees to donate their accrued leave to colleagues who are experiencing a catastrophic illness or injury and have exhausted their own leave balances.
Who is required to file catastrophic leave waiver form?
Employees who wish to donate their accrued leave to a colleague in need are required to file the catastrophic leave waiver form.
How to fill out catastrophic leave waiver form?
To fill out the catastrophic leave waiver form, employees must provide their personal information, the amount of leave they wish to donate, and the name of the colleague receiving the donated leave.
What is the purpose of catastrophic leave waiver form?
The purpose of the catastrophic leave waiver form is to provide a mechanism for employees to support their colleagues in times of need by donating their accrued leave.
What information must be reported on catastrophic leave waiver form?
The catastrophic leave waiver form must include the donor's personal information, the amount of leave being donated, and the name of the recipient.
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