Sick Leave Bank Participation Sample Clauses

Sick Leave Bank Participation. Authorization forms are available through the Central Office and/or the district website.

Sick Leave Bank Participation. Name In order to participate in the Rossford Schools/TACT Sick Leave Bank (SLB), I understand that one (1) day of sick leave will be deducted from my accumulated sick leave balance and that I may be assessed at a later date for additional days. Understand that I am eligible to benefit from the SLB if and when there is a need. If days are withdrawn from the sick leave bank I will return the borrowed days to the bank after accumulating the required days. Each member applying for benefits from the SLB shall agree in writing as follows: “I specifically acknowledge and agree that the granting of days from the SLB shall be at the sole discretion of the SLB committee. All decisions of the SLB committee will be final and binding and are not subject to grievance. I further agree to abide by such decision and to indemnify and hold harmless the SLB committee, the Rossford Association of Classroom Teachers, and the Rossford Schools.” When an employee donates days to the SLB, he/she agrees to the state rules for administration of the SLB. This form must be returned to the Treasurer prior to September 30. Signature Date I do not wish to participate in the Sick Leave Bank and fully understand that I will not be eligible for any benefits derived from this bank. Signature Date Office Use One sick day deducted from balance. Initials Date Appendix J EMPLOYEE APPLICATION FOR SICK LEAVE BANK WITHDRAWAL Name Current Sick Leave Balance Sick Days Used this School Year Sick Days used for Current Illness Total Days Previously Withdrawn from SLB Employee’s reason for request (be specific) Estimate of additional days needed Name of attending physician Telephone Address I specifically acknowledge and agree that the granting of days from the SLB shall be at the sole discretion of the SLB committee. All decisions of the SLB committee will be final and binding and are not subject to grievance. I further agree to abide by such decision and to indemnify and hold harmless the SLB committee, the Rossford Association of Classroom Teachers, and the Rossford Schools. Signature of applicant Date Please submit request to Superintendent Sick Leave Bank Committee Use Request approved for days to be withdrawn from Sick Leave Bank. Balance of days owed to Sick Leave Bank Request denied Signature of SLBC Chairman Date Treasurer’s Office Use Date days added to Sick Leave Balance Initials Appendix K Rossford Exempted Village Schools Request for Personal Leave Date: Building: Name: I am requesting to be ...