Sick Bank - Open Enrollment
Where:
Local 641
TO: AFSCME Local 641 Members
FROM: Kevin Mello, President
DATE: September 4, 2024
RE: Open Enrollment - Sick Leave Bank Donation Form*
In order to participate in the Sick Leave Bank for this year, this application must be submitted to Local 641 Recording Secretary, Gina Brites (PPS, PRAB Rm. 220), no later than October 5, 2024.
• If you are already a sick bank member, you do not need to fill out/submit this form! Donating to the Sick Leave Bank does not affect your Sick Leave Incentive.
As an AFSCME Local 641 member, in good standing, I wish to join and donate one (1) day to the Sick Leave Bank:
NAME (Please print legibly):
SIGNATURE:
DEPARTMENT:
SCHOOL:
Attachments
| Attachment | Size |
|---|---|
 sick_bank_donation_form_0.docx | 22 KB |