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City of Laramie Donation of Sick Leave Donor Authorization Employee Name: Department: I would like to donate sick leave to the Leave Bank. I realize I may donate up to 24 hours of leave at any one time, as long as my sick leave balance exceeds 240 hours. Month: Hours to Deduct: Month: Hours to Deduct: Month: Hours to Deduct: Employee’s Signature Date OFFICE USE ONLY HR Approval Date: Sick Leave Balance prior to Transfer: Sick Leave Balance Accrued: + Sick Leave Balance Deducted: - Calculated Balance: = SIGN