Excess Annual Leave Deferral Request

Excess Annual Leave Deferral Request
In compliance with RCW 43.01.040 and 43.01.044, the maximum vacation leave balance for exempt employees is 35 days (280 hours) of leave. If you wish to request to carry a leave balance above 35 th days beyond September 30, please complete this form in full and indicate the necessity. The President or HR Director may approve or disapprove such requests and file them with Human Resources. Approved excess annual leave must be used on or prior to December 31. Payroll will delete all excess annual leave at the close of business on December 31.
Employee name
Employee Email
example@example.com
Vacation leave balance as of 9/30
Number of excess hours requesting
Reason of necessity:
Employee Signature
President
example@example.com
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
President
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
HR Director
HR Director
example@example.com
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: