Sick Leave Bank Application

UVMSU Protected Health Information (PHI) Statement:  Information about your health is private and should remain private. That is why UVMSU endeavors to protect and maintain the privacy of your health information.  Information provided on this application will only be shared with members of the sick leave bank committee, executive officers of UVMSU, and staff members of UVM Human Resource Services, and solely for the purposes of sick bank administration.

If the employee is not capable of making a written application, a personal representative may make the application on behalf of the employee.

By clicking Send, you are you are certifying that the above statements are true to the best of your knowledge.

PLEASE NOTE: To complete your application, you must email the Sick Leave Bank Committee at sickbank@uvmstaffunited.org the following materials:

  • a copy of a letter from UVM HR confirming that you are or will be on an approved leave status such as FMLA or Extended Medical Leave

  • a screenshot of your remaining leave balances in PeopleSoft at the time of your application