Sick Leave Bank Employee Donation

Employees may donate a minimum of one day of compensable sick leave to the Sick Leave Bank. For those employees not having any compensable sick leave, non-compensable accrued sick leave may be donated. For employees on less than 100% appointment, one day is determined on the basis of their appointment percentage. An employee who donates must have at least ten (10) days of accrued sick leave remaining for his/her personal use after donating one day. Remaining sick leave time is not reviewed for eligibility until the end of the fiscal year, June 30th.

Donations to the Sick Leave Bank must be received during the annual benefits choice period. Participation in the program is then established for the following fiscal year.

Subject to university policies, employees who donate to the Sick Leave Bank under this program will be eligible to request additional sick leave credit in the event that paid leave benefits become exhausted while experiencing a qualifying illness or injury.

Employee Information

Employee ID (Look up your employee ID.) *

First Name *

Last Name *

NIU Department *

Preferred Email *

Preferred Phone *

Preferred Method of Contact *

Phone

Donation Information

Number of Days to Donate * 🛈

Acknowledgement Signature

By signing below, I am certifying that I want to enroll in the Sick Leave Bank for the upcoming fiscal year. If I have any questions regarding the Sick Leave Bank, it is my responsibility to contact Human Resource Services.

Sign using your S-signature with forward slash on each side of your name (eg. /Victor E. Huskie/) *

Disclosure *

By using this website you agree that your Name and/or ID fully, accurately and uniquely identifies you in our database. You furthermore agree that your submission of this form, via the "I Accept" button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.