PTO/Sick Leave Donation Form
I authorize CFD, under the outlined conditions, to transfer the following leave to the recipient’s donated leave bank.
Donation To: Number of Hours Donated:
I would like my donation to remain anonymous:
Current PTO/Sick Leave Balance:
Current Earned PTO/Sick Leave:
Previously Donated Hours:
Total Donated PTO/Sick Leave Approved:
Total PTO/Sick Leave Remaining:
Transfer made for the following pay date:
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: PTO/Sick Leave Donation Form
Agree & Sign