About this Form
Form number: 280-38
Audience: SEIU Members
Last revised: September 2012
This form will decline or end membership in the SEIU sick leave bank. Each member has 30 days from the date of hire to opt out of the sick leave bank. If the member opts out within the above specified number of days, the member's sick leave bank donation will be reinstated into his/her earned and available sick leave balances. If the member misses the 30-day period to opt out of the sick leave bank, the member can elect to end his/her membership at any time, but the donation of sick leave will not be returned to his/her sick leave balances. A member can join the sick leave bank at any time, but the donation will be governed by the rules and regulations in place at the time the member joins.
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