How to Apply to the Faculty Sick Leave Bank

In order to apply to the Faculty Sick Leave Bank, the following information is needed:

Click here to complete a Faculty Sick Leave Bank Application form. Log into the form using your FSA credentials.

You will be required to provide a brief history of your leave usage, and an explanation of why your leave balance is low.

A physician's statement on doctor's letterhead will also be required to be attached in the form. The doctor must verify the nature of the illness or injury and the inability of the employee to work.

All forms should be turned in as soon as you determine that you will lose pay.  Your case will be presented anonymously to the trustees and after the trustees have considered your request, you will be informed of their decision.  In making their decisions, the trustees consider the seriousness of the employee's condition, the employee's leave history for excessive usage, the employee's letter and the current bank balance.

When all leave granted by the bank has been exhausted and the trustee's award of leave is final, you would be eligible to receive donated leave.  The policy regarding donated leave eligibility can be found in Policy 825 - Leave Policies.  The donated leave form is located here.

Please call Human Resource Services @ 615-898-2929 if you have any questions!

Human Resource Services 

Middle Tennessee State University 
2269 Middle Tennessee Boulevard 
204 Sam H. Ingram Building 
Murfreesboro, TN  37132-0001