Archive: April 2001

Catastrophic Leave Provisions Require Action Before May 31
By Steve Kaplan, UniServe Field Organizer

This form is now available at your site. The benefit achieved through bargaining must be initiated on a pre-need basis. Additional information on the allowable illnesses has already been delivered to you.

Completed forms: send to Bonnie Salcido, Employee Benefits Supervisor, Employee Services Department, Eugene Brucker Ed Center, Room 1150A (619) 725-8135

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Catastrophic Leave Bank
Enrollment/Donation Form
Certificated Bargaining Unit (SDEA)

Please print the following information:

Last Name:____________________ First Name____________ MI__

SSN#:________________________ Job Title:__________________

Work Location:_________________ Cost Center Number:_________

[ ] Check here if less-than-full-time, partial contract, job-share, or reduced workload status.

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[ ] I wish to donate ____ full-salary SICK leave day(s) to the Catastrophic Leave Bank.

[ ] I wish to donate ____ full-salary VACATION leave day(s) to the Catastrophic Leave Bank.

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Authorization - Read Carefully

This is to request and authorize the San Diego Unified School District Payroll Unit to deduct the number of days specified above from my sick leave or vacation leave balance and transfer the day(s) to the Catastrophic Leave Bank. I understand that the transfer of sick leave or vacation leave to the Catastrophic Leave Bank is irrevocable. I also understand that a minimum of one day of sick leave or vacation leave must be donated in order to qualify for membership in the bank. I further acknowledge that a donation of sick leave to the bank will not affect my eligibility for the annual attendance incentive compensation.

Signature_________________________________ Date__________

RETURN THIS FORM BY MAY 31, 2001
Bonnie Salcido, Employee Benefits Supervisor, Employee Services
Department, Eugene Brucker Education Center, Room 1150A
(619) 725-835 or email: bsalcido@mail.sandi.net