Consent to receive donations of vacation or paid time off

Note: giving consent does not guarantee donations.

About donations

  • You won’t know who made the donations since we keep donor names confidential.
  • You receive donations in cash at the donor’s pay rate.
  • Donations are taxed.
  • You receive donations beginning the pay period you use up all your paid leave and you’ll see donation earnings on your pay stub. The Floating Leave with Pay Day can be saved and will not count against your donations.
  • PERA deductions are not taken out.
  • Insurance premiums are taken out (except when donations aren’t high enough to cover them, or you’re on unpaid medical leave or medical layoff).
  • Court orders related to wages apply.
  • Donations can’t go above your regular earnings. If donations put you over your regular earnings, extra donations would apply, if needed, to future paychecks.
  • Donations are applied to current and future pay periods, not previous pay periods.
  • Pregnancy and childbirth: employees (female and male) can normally receive donations up to six weeks after delivery or have a doctor’s note if after six weeks.
  • For a family death, you can receive donations for two pay periods after the death.
  • You can reverse your consent to receive donations by emailing an HR leave specialist at HR.LAM.Office@hennepin.us.
  • Donations are valid for one year from the donation date. If an employee who donated PTO or Vacation resigns or retires before the donations are used, those hours will no longer be available.
  • Donations don’t affect short- or long-term disability, PERA disability or Social Security disability.
  • MERF (Minneapolis Employees Retirement Fund) members who receive donations can’t receive MERF disability or retirement benefits at the same time.
  • 1% Supplemental Retirement Plan participants have their contribution taken out and matched.
  • Donations are deducted from the employees balances in the order they are received.

Return to the employee time off with pay page.

Provide your consent

Employee information

This should be no longer than 9 digits.

Format as xxx-xxx-xxxx.

Share this information in case we can't reach you at work.

Leave information

Access the leave of absence request form on the employee leave of absence page.

Supervisor information

Format as xxx-xxx-xxxx.

Voluntary request for your name to be posted on an internal donation page

The employee request for vacation/PTO donation page is an employee driven page and names are posted by employee request only. Posting of names on this page is not intended in any way to confirm the legitimacy of a request or show favoritism of one employee over another. Your name does not need to be posted to receive donations.

Visit the page (must have network access).

Vacation/PTO donation posting page conditions:

  • Posting will be valid for 60 days.
  • The posting does not guarantee donations.
  • To extend the posting beyond 60 days, submit a new request.
  • Names may be viewed by any employee of Hennepin County.
  • To remove your name before 60 days is up, request it in writing to an HR leave specialist at HR.LAM.Office@hennepin.us and it will be removed within one working day from the date the request is received.

Other

Character limit is 512.

Signature

Having read and understood the description of the Hennepin County vacation/PTO donation program, I agree to accept the value of vacation/PTO hours donated in my name. I understand that this consent is valid until I cancel it in writing or no longer qualify to participate in the program.

Terms of the program

Having read and understood the description of the Hennepin County vacation/PTO donation program, I agree to accept the value of vacation/PTO hours donated in my name. I understand that this consent is valid until I cancel it in writing or no longer qualify to participate in the program.