Receiving Employee Information 

 

       Donating Employee Information 

 

 

   

 

 
 

 

 
 

 

 
 

 

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ERS-18 

          REV.1/08 

 

 

1.  Employee Name 

2.  Class Title 

3.  Job Code/ 
     Pay Grade 

4.  County/Office 

 

 

 
 

 

STATE OF ALABAMA 
UNIFIED JUDICIAL SYSTEM 

 
LEAVE DONATION REQUEST 

DATE: 

 6.  Donated Leave Dates From:_____________________  To:________________________     
       Check type of leave donated:  □  Sick  # of hours ____  □  Annual  # of hours ____  □  Compensatory  # of hours ____ 
       Total # Donated Hours:________ 
 

7.  Certification of Receiving Employee: 

Explanation of Catastrophic Illness/Injury:_______________________________________________________________

 _________________________________________________________________________________________________

 _________________________________________________________________________________________________

 _________________________________________________________________________________________________  

This request is due to the above referenced catastrophic illness/injury or pregnancy.  I certify that donated leave will be 
used during the dates listed above in order to continue my compensation because my leave will be exhausted. 

ecipient Signature: ______________________________________________ 

 

Date: _________________ 

.  Certification of Recipient’s Appointing Authority: 

I certify that this request meets the requirements for transfer of sick, annual, and/ or compensatory leave.  I authorize the 
addition of the total hours shown in section 6 to the sick leave account of this employee. 

ignature: ______________________________________________________ 

 

Date: _________________   

.  Certification of Donating Employee: 

I certify that I am voluntarily requesting permission to donate sick, annual, and/or compensatory leave hours as listed 
above.  I understand that my leave balance will be reduced by the number of hours listed, and this leave cannot be returned 
to me, even if it is not used. 

onor Signature: _________________________________________________ 

 

Date: _________________ 

0.  Certification of Donor’s Appointing Authority: 

I certify that the hours listed above are available for donation, that this request meets the requirements for sick, annual, 
and/or compensatory leave transfer, and that I approve the transfer. 

ignature: _______________________________________________________ 

 

Date: _________________ 

 11.  Approved/Disapproved 

 ADC Signature: _____________________________________________               Date: ________________ 

  P

  

   

  R

    8

  S

  9

  D

  1

  S

   

   

     

 
LEAVE DONATION REQUEST 
 

1.  General:  Unified Judicial System employees may transfer sick, annual, and/or compensatory leave hours to 
 
 
 

fellow judicial, executive, and legislative branch employees under certain circumstances. 
 
a)  The receiving employee must have exhausted all sick, annual, and compensatory leave. 

b)    The  illness  or  injury  must  be  “catastrophic”.  “Catastrophic”  conditions  are  those  that  are  life 
threatening,  or  from  which  there  is  no  reasonable  expectation  of  recovery,  or  where  the  employee  is 
unable  to  return  to  work  for  a  year  or  more.    Examples  of  catastrophic  conditions  are  a  brain  tumor, 
rejection  of  a  kidney  transplant,  and  a  mother  caring  for  a  terminally  ill  child.    Other  medical 
conditions  that  are  serious  but  do  not  meet  the  above  definition  may  also  qualify  for  donated  leave.  
Examples  are  chemotherapy  and  pregnancy  (only  for  the  period  of  disability  as  certified  by  attending 
physician).    Employees  requesting  donated  leave  must  include  a  US  Dept.  of  Labor  form  WH-380, 
Certification   of Health Care Provider) completed by the attending physician along with the completed 
PERS 18, “Leave Donation Request”. 

c)  Employees whose immediate family members (spouse, child, siblings, grandparents and grandchildren)  
 

have suffered a catastrophic illness or injury, may be eligible to receive donated leave. 

d)  Leave Donation Request forms should not be submitted for more than one month in the future. 

e)  Employees who are leaving state service may not donate prior to their separation date. 

.  Request Procedure:  Request must be submitted on a PERS 18, “Leave Donation Request”. 

a)  The request should originate with the employee who will be the beneficiary of the donation, and must have 
 

the approval of that employee’s appointing authority (sections 7 and 8). 

b)  The donating employee and his/her appointing authority complete sections 9 and 10 of the form. 

c)  Sections 1 through 5 are completed by the recipient’s appointing authority. 

d)  The PERS 18 must be approved by the ADC prior to the leave being used (no retroactive donations). 

forms, in addition to the UJS PERS18. 

f)  Donations involving employees in another branch of government will require the use of their appropriate 
 
 

 
 
 
3.  Annotating HRDesktop Leave Records: 

a)  Recipient – Hours received will be posted to recipients sick leave balance by a representative of AOC  
  Human Resources Division on the HR Desktop automated leave system, in the appropriate pay period.     
b)  Donor – Hours donated will be posted to the donor’s leave balance by a representative of AOC Human  
  Resources Division on the HR Desktop automated leave system (depending on the type of leave donated), 
 
c).  Copies of the PERS 18 form, “Leave Donation Request” should be maintained by the appointing authority 
for both the recipient and donor.  Record copies will also be maintained by the AOC Human Resources  
 
  Division. 

in the appropriate pay period.   

 

4.  Use of Donated Leave:  Leave donated becomes the property of the recipient, and cannot be returned to the 
donor, even if it is not used.  Employees continue to earn both sick and annual leave while donated leave is 
 
used as long as they are in pay status for 80% of hours in each pay period. 
 
 
 

 
 
 
 
 
 
 
 
 

   

 

   

 

 
 

   

 

 

 
 
 
 
 
 
 
 

 

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