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Spousal Sick Leave Donation Form |
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| Donor Information:
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Name of Donor: |
EKU ID: |
Phone Number: |
Hire Date: |
| Department: | |
| Days to be credited to Recipient:__________ (Employee must have 10 days remaining after donation. Minimum amount employee may donate is five days.) |
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Recipient Information: |
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| Name of Recipient: | EKU ID: |
| Phone Number: | Hire Date: |
| Department: | |
Signature of Donor |
Date |
| This is to certify that the employee named above has a sufficient sick leave balance to donate the hours indicated leaving a minimum balance of 10 days. | |
Human Resources Authorization |
Date |