ࡱ> wyv%` ~$bjbj"x"x @@~(((((((<DDDD$h<<LWd_4$hj9(5"W(( (((( v;D"0L   ($} L<<< d<<< <<<((((((  CONFIDENTIAL RECORD LEAVE DONATION FORM DONOR INFORMATION See:  HYPERLINK http://www.goer.state.ny.us/CNA/CSEAASU/02app11.html http://www.goer.state.ny.us/CNA/CSEAASU/02app11.html for general guidelines applicable to employees in all negotiating units. Information About Donor Name  FORMTEXT       Title  FORMTEXT      Salary Grade  FORMTEXT      Negotiating Unit  FORMDROPDOWN Payroll Item #  FORMTEXT      Social Security Number  FORMTEXT      Work Phone Number  FORMTEXT      Work Unit/Location  FORMTEXT       RECIPIENT INFORMATION Information About Person to Receive Donation Name  FORMTEXT      Work Unit/Location  FORMTEXT        DONATION INFOR  !#$JKPQ - 2 3 = > ~ »ɱɂtctOtt&jhKCJOJQJUmHnHu!jhKCJOJQJUjhKCJOJQJUhKCJOJQJ hK0J!jhKCJOJQJUjhKCJOJQJUhKCJOJQJ hK5CJ h/755CJhKh/75hK5CJOJQJaJh/75hKCJaJh/75%jh/755OJQJUmHnHu!"#$8JK   , 2 r ~ $$Ifa$$If$a$gd/75~$  * , . N P d f h r t      @ ±­œ‹zi­!jhKCJOJQJU!jWhKCJOJQJU!jhKCJOJQJU!jhKCJOJQJUhK!jhKCJOJQJUhKCJOJQJ&jhKCJOJQJUmHnHujhKCJOJQJU!jOhKCJOJQJU) 0 N v  }wnwnwnww $$Ifa$$Ifkd7$$IflF J$"0    4 la   @ h gaa$Ifkd?$$Ifl4\\ Vz$ $ 04 laf4@ B V X Z d f      & ( R T h j l v x    P R T V X l n p z | ȺȩȺȄywyqfjm hKU hKCJUhK5CJOJQJ!johKCJOJQJU&jhKCJOJQJUmHnHu!jhKCJOJQJUjhKCJOJQJUhKCJOJQJhKOJQJjhKUmHnHujhKUhKjhKU(h j l n  * P $If[kd{$$Iflv$h%04 la    R T V ~ {r $$Ifa$$If$If$a$nkd$$Ifl0H$04 la MATION Number of Vacation Days Donated   FORMTEXT       Authorization I hereby authorize the Personnel/Payroll Office to deduct from my vacation balance the number of days indicated above to be used as sick leave by the recipient named above. I certify that the days donated are not days I would otherwise forfeit and that this donation does not cause me to drop below the balance of ten days of vacation as of the date this donation is submitted. 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