Leave Bank Donation Form

Leave Bank Donation Form Template
LEAVE BANK DONATION FORM

 

 

Name:                            

 

Date:  

 

Job Title:                            

 

SS#:  

 

Department:                          

 

Supervisor:  

 

 

Employee start date:  

Work schedule:  

Hours per week:

 

Number of days donated:   _______

 

Type of leave (personal etc): _______________________

 

 

 

 

 

______________________          

Name

 

_______________________        

Title

 

____________________                                                                                                                                                

Signature  

 

FOR OFFICE USE ONLY

 

 

Donation approved:   ____

Donation denied: ____

Reason(s) for denial:

 

 

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