AAUP Donated Sick Leave Bank Opt-Out Form

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PSU ID Number *

Last Name *

First Name *

Middle Name

Phone Number *

Position Number

Sick Leave Donation Information

Pursuant to Article 32, Section 2 of the Collective Bargaining Agreement with Portland State University Chapter, American Association of University Professors, I voluntarily agree to opt-out of the Donated Sick Leave Program. I understand that I will not be eligible to participate in the program until the next open enrollment period, typically October of each year.

I understand the following:

* Bargaining unit members may enroll in the Sick Leave Bank at such times as employees are generally permitted to make or change employee benefit selections, including at the beginning of employment, during the annual open enrollment period. New bargaining unit members will be provided information regarding the Sick Leave Bank at the time that they are hired.

* Donations shall be deducted from the donor’s sick leave bank and charged to the donator’s department at their current regular hourly rate of pay including OPE.

* All donations are irrevocable

By clicking opt-out you agree to the terms. *

I choose to opt-out of the AAUP Sick Leave Program

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