Page 93 - An Indispensible Resource for Being a Credible Activist

Thank you,
Your Full Name

Full Contact Information
Company Web site
CC: Injured Employee

Injured Employee’s file

SAMPLE MEMO: LEAVE DONATION POLICY

On letterhead, in interoffice memo format, or via e-mail
Date

Dear Staff,
(Company) has a leave donation program for staff members who are out due to injury or
illness and have run out of paid time off. ___________________ has requested leave
donation. She is expected to be absent until further notice. She does not have sufficient
leave accruals to cover her expected time out of work.
This program allows staff to voluntarily donate vacation, sick, and personal leave accru-
als to employees who are on medical or disability leave and don’t have enough leave
accruals to cover their salary. Your donated leave is used to cover the recipient’s salary
during their waiting period for disability and/or to delay the use of disability benefits,
which pay only partial salary.
This is voluntary.

Eligibility to Donate:
In order to donate you must:
be an employee of (Company);
have a minimum of 1 weeks’ paid time off vacation leave after the donation; and
make donations in 8-hour units

If you wish to donate unused vacation, sick, or personal leave accruals, please let me
know by responding to this message. The identity of donors remains confidential and is
only disclosed to certain members of HR and Finance for tracking purposes.
To review this policy, please review the Employee Handbook. Please let me know if you
have any questions.

Thank you,
HR Name, Title

76 The H R Toolkit