NOTIFICATION OF OPEN CONTRIBUTION PERIOD FOR THE 
WEA VOLUNTARY SICK LEAVE BANK PROGRAM 

An open contribution period will exist from January 9, 2019 – February 7, 2019 to allow certified employees the opportunity to donate sick leave days to the WEA Voluntary Sick Leave Bank Program. Each certified staff member (excluding exempt and administrative personnel) may contribute one (1) day of their accumulated but unused sick leave. Advanced sick leave may not be contributed. 

The one (1) donated day of sick leave will be deducted from your sick leave balance on your February 25th, 2019 paycheck. 

If you have any questions concerning the voluntary sick leave bank program please consult your WEA building representative, your master agreement Article 44, page 73, or call or email Brian Morgan. 

Please complete and return this form to Financial Services, Attn: Payroll at Worthington Education Center, no later than February 7, 2019, if you wish to donate to the program. 

Please print clearly. 

I, ________________________, voluntarily give one (1) day of my accumulated, unused sick leave to the WEA Voluntary Sick Leave Bank Program. I understand that the sick leave day I donate will be forfeited. 

________________________________ 	___________ 	_______________ 
Signature 	Date 	Employee ID 

FINANCIAL SERVICES USE ONLY 

Sick leave balance _________________ - 1.00 = _______________ 

as of _________________. 

WEASICKLEAVEBANKFORM / 12/19/2018 / 12:21:43 PM