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Business and Financial Affairs

Sick Leave Buyout Request

I have reviewed the amount of my sick leave usage during 2018 and eligible hours for buyout that was provided to me by Payroll Services.

I elect to participate in the 2018 Sick Leave Buyout program and I want to buyout 

hours of sick leave.
(enter number of hours)

I understand I may cash out eligible hours at the rate of 25%, the hours cashed out will be deducted from my sick leave balance, and this deduction will not decrease my new balance below 480 hours.

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