Form of the Week: Leave Sharing Donation Policy

Policy Statement [Company Name] recognizes that employees may have a family emergency or a personal crisis that causes a severe impact to them resulting in a need for additional time off in excess of their available sick/personal time. To address this need all eligible employees will be allowed to donate sick/personal time from their unused balance to their co-workers in need in accordance with the policy outlined below. This policy is strictly voluntary. Eligibility Employees who donate sick/personal time must be employed with [Company Name] for a minimum of 1 year. Guidelines Employees who would like to make a request to receive donated sick/personal time from their co-workers must have a situation that meets the following criteria: Family Health Related Emergency- Critical or catastrophic illness or injury of the employee or an immediate family member that poses a threat to life and/or requires inpatient or hospice health care. Immediate family member is defined as spouse, domestic partner, child, parent or other relationship in which the employee is the legal guardian or sole caretaker. Other Personal Crisis- A personal crisis of a severe nature that directly impacts the employee. This may include a natural disaster impacting the employee’s primary residence such as a fire or severe storm. Employees who donate sick/personal time from their unused balance must adhere to the following requirements: Donation minimum- 4 hours Donation maximum- 40 hours but in no case more than 50 % of an employee’s current balance Note: Employees who donate time must have sufficient time in their balance and will not be permitted to exhaust their balances due to the fact that they may experience their own personal need for time off. Employees cannot borrow against future sick/personal time to donate. Employees who receive donated sick/personal time may receive no more than 480 hours (12 weeks) within a rolling 12 month period. Employees who are currently on an approved leave of absence cannot donate sick/personal time. Procedure Employees who would like to make a request to receive donated sick/personal time are required to complete a Donation of Sick/Personal Time Request Form which includes authorization to present their request to the employees of [Company Name] for the sole purpose of soliciting donations. Employees who wish to donate sick/personal time to a co-worker in need must complete a Donation of Sick/Personal Time Form. All forms should be returned to the Human Resources Manager. Approval Requests for donations of sick/personal time must be approved by Human Resources, the employee’s immediate Supervisor and a designated Senior Leader of [Company Name] (i.e. President, Vice President, or Regional Vice President). If the recipient employee has available sick/personal time in their balance, this time will be used prior to any donated sick/personal time. Donated sick/personal time may only be used for time off related to the approved request. Sick/personal time donated that is in excess of the time off needed will be returned to the donor. This policy is available for download in our online HR forms library at www.holmanhr.com. If you have any questions, please do not hesitate to contact Holman HR.