Major Illness Bank

Major IlLNESS BANK Information

Per contract, the Union has established a sick bank which allows members who have a prolonged illness that are medically certified and filed with HR the ability to appeal to the EPEA for up to twenty-five (25) additional sick leave days after their accrued sick leave has been exhausted. If you are not interested in participating in the sick bank, please complete the opt out-form below by Friday, September 20. If we do not receive a signed opt-out form we will automatically enroll you in the sick bank.

Name

First Name

Last Name

Email

Date of Hire

MM

DD

YYYY

I decline membership in the EPEA Sick Leave Bank. I understand that by signing this opt out form that I am not eligible to request days from the sick bank.

Electronic Signature: