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Policy GCCAA-1E (Also GDCA-1E)
Weston County School District #1
Sick Leave Donation Form
I am an employee of Weston County School District Number One. I have earned and accumulated one or more days of sick leave in accordance with District Policy. I want to donate one or more of my earned sick leave days to another District Employee. I understand that my donation is irrevocable and I cannot change my mind and cancel or annul my donation. I have read District Policy regarding donation of sick leave and I understand and agree with this policy.
I irrevocably donate
days of my earned accumulated sick leave to
This donation is not complete until the form is accepted and processed.