PSU/MTA Sick Leave Bank Application

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The PSU/MTA Sick Leave Bank (SLB) was established to secure income for SLB members who are on an approved leave where there is a reasonable expectation that the member will return to perform the essential functions of their job and where the SLB member does not have enough accrued paid leave credits to secure income during the period of leave (reserving two weeks of vacation time). The SLB is intended to provide income to members who:

• Are absent from work due to a non-work related injury or illness where there is a reasonable expectation, based on medical documentation, of the member returning to the position held at the time a medical leave due to the illness or injury began. The SLB is not intended as a substitute for Long-Term Disability Insurance protection.
• Require paid leave time until an approved application for Long-Term Disability Insurance benefit becomes effective.
• Are absent from work due to parental leave or serious illness of a family household member.

The PSU/MTA SLB application form provides instructions on how a member can apply for approved leave & the form and instructions for applying for income from the PSU/MTA SLB while on approved leave.

You may submit a completed SLB application via:

• U.S. post mailed to: University of Massachusetts Amherst, Human Resources, 325 Whitmore Administration Building, Amherst, MA 01003-9313,
• Facsimile to 413.545.0483
• AskHR online at www.umass.edu/hr (AskHR click on "submit your questions" > "I am a current UMass employee or student" > "click here to submit a question". Select "my topic is not listed here" > Benefits/Paid Time Off and Choose File to upload your completed application).
• In person at the Human Resources Information Center, room 325 Whitmore Administration Building.