PERSONNEL ADMINISTRATIVE MANUAL
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PURPOSE:
To provide uniform procedures for the processing of Voluntary Time Bank
requests and transfers of leave credit.
LEGAL BASIS:
COUNTY OF SANTA CRUZ VOLUNTARY TIME BANK POLICY (See
INTERNAL REVENUE SERVICE RULING 90-29
POLICY:
Refer to
PROCEDURE:
FIGURE I-1
ON PERSONNEL DEPARTMENT LETTER HEAD
January 2, 1999
TO: All County Employees
This letter announces the establishment of a voluntary time-bank for the
benefit of:
NAME DEPARTMENT
RICHARD ROWE PERSONNEL
Mr. Rowe will be unable to work for X # of weeks/months due to medical reasons/
death in the family / natural disaster. Mr.
Rowe does not have sufficient time credited to his account to cover this
extended absence.
If you wish to make a voluntary contribution to the time-bank established for
Richard Rowe, complete the form on the reverse, place it in a sealed envelope
addressed to the Personnel Department, mark the envelope "Confidential
Time-bank Contribution" and send the form to the Personnel
Department.
ROBERT PALMER
Personnel Director
FIGURE I-2
I have read the above letter announcing the establishment of a time bank in my
behalf. I agree to allow the Personnel Department to publish this letter and to
solicit voluntary contributions county-wide on my behalf.
RICHARD ROWE
FIGURE II-1
ON PERSONNEL DEPARTMENT LETTERHEAD
TO: All County Employees
This letter announces the establishment of a voluntary time-bank for the
benefit of:
NAME DEPARTMENT
RICHARD ROWE PERSONNEL
Mr. Rowe will be unable to work for X #
of weeks/months due to medical reasons/ death in the family / natural disaster.
Mr. Rowe does not have sufficient time credited to his account to cover this
extended absence.
If you wish to make a voluntary contribution to the time-bank established for
Richard Rowe, complete the form on the reverse, place it in a sealed envelope
addressed to the Personnel Department, mark the envelope "Confidential
Time-bank Contribution" and send the form to the Personnel
Department.
ROBERT PALMER
Personnel Director
FIGURE II-2
Note:
Donations for Catastrophic Illness/Injury may be made on Form PER1095.
TO: COUNTY PERSONNEL DEPARTMENT
ATTENTION: PERSONNEL DIRECTOR OR DESIGNEE
CONFIDENTIAL
DONATION OF ACCRUED PAID LEAVE TO EMPLOYEE CATASTROPHIC
ILLNESS/INJURY TIME BANK
I understand that this donation of leave hours is irrevocable and, should the
person receiving the donation not use all donated time for the catastrophic
illness/injury, any balance will remain with that person.
I understand that I may only donate the following types of accrued leave:
vacation, administrative leave. (Sick leave may not be transferred except by
Elected Officials; accrued compensatory time may not be transferred.)
I understand that I may donate leave in increments of 4 hours or more and that
I cannot donate leave which would reduce my total accrued leave balance (for
vacation, compensatory time, administrative leave, sick leave) to less than 168
hours.
I have read and understand all of the above, and I freely and without restraint
elect to donate _____________ hours
of ___________________________________________ to a Time-Bank
established for the benefit of RICHARD ROWE, EMPLOYEE #999901
Employee's Name (Print) _________________________ Employee # ______
Signature _________________________________ Date _____________
FIGURE II-3
TO: COUNTY PERSONNEL DEPARTMENT
ATTENTION: PERSONNEL DIRECTOR OR DESIGNEE
CONFIDENTIAL
TRANSFER OF ACCRUED PAID LEAVE TO EMPLOYEE NATURAL
DISASTER
TIME BANK
I understand that this transfer of leave hours is irrevocable and, should the
person receiving the transfer not use all transferred time for the NATURAL
DISASTER, any balance will remain with that person.
I understand that federal and state
income taxes will be deducted on the value of leave I am donating, and that
such withholdings will be deducted from my pay.
I understand that I may only transfer the following types of accrued leave:
annual leave, vacation, administrative leave. (Sick leave may not be
transferred except by Elected Officials; accrued compensatory time may not be
transferred.)
I understand that I may transfer leave in increments of 4 hours or more and
that I cannot transfer leave which would reduce my total accrued leave balance
(for annual leave, vacation, compensatory time, administrative leave, sick
leave) to less than 168 hours.
I have read and understand all of the above, and I freely and without restraint
elect to transfer ______________ hours of ___________________________________________
to a Time Bank
established for the benefit of JANE DOE, Employee # 999902.
Employee's Name (Print) ____________________ Employee # ____________
Signature _________________________________ Date _____________
FIGURE II-4
TO: COUNTY PERSONNEL DEPARTMENT
ATTENTION: PERSONNEL DIRECTOR OR DESIGNEE
CONFIDENTIAL
TRANSFER OF ACCRUED PAID LEAVE TO COUNTY TIME BANK ESTABLISHED FOR THE BENEFIT
OF AN EMPLOYEE WHO MUST ATTEND TO FAMILY
AFFAIRS RESULTING FROM THE DEATH OF AN IMMEDIATE FAMILY MEMBER
I understand that this transfer of leave hours is irrevocable and, should the
person receiving the transfer not use all of the transferred time for the
stated purpose, any balance will remain with that person.
I understand that federal and state
income taxes will be deducted on the value of leave I am transferring, and that
such withholdings will be deducted from my pay.
I understand that I may only transfer the following types of accrued leave:
annual leave, vacation, administrative leave. (Sick leave may not be
transferred except by Elected Officials; accrued compensatory time may not be
transferred.)
I understand that I may transfer leave in increments of 4 hours or more and
that I cannot transfer leave which would reduce my total accrued leave balance
(for annual leave, vacation, compensatory time, administrative leave, sick
leave) to less than 168 hours.
I have read and understand all of the above, and I freely and
without restraint elect to transfer ______________ hours
of ___________________________________________ to a Time Bank
established for the benefit of FREDERICK FOX, Employee #999903.
Employee's Name (Print) ________________________ Employee # __________
Signature _________________________________ Date _____________
FIGURE II-5
ALL DEPARTMENT HEADS
Robert Palmer, Personnel Director
Establishment of a Time Bank on Behalf of Richard Rowe.
Please disseminate to all employees the attached letter establishing a
Voluntary Time Bank for the benefit of Richard Rowe. Please post copies through
out your Department.
If there are any questions, please contact the Personnel Department.
Thank you.