Employee Sick Leave Bank Program

In 1988, the Tennessee General Assembly enacted legislation to form the Employee Sick Leave Bank. The Bank provides sick leave to qualifying member employees who are unable to work as a result of a personal illness, injury, disability, medical condition, or quarantine. There are approximately 20,000 active members in the Sick Leave Bank. Open enrollment for the Sick Leave Bank begins each year on August 1 and runs through October 31. By donating four (4) days of sick leave at the time of enrollment and one (1) day of sick leave annually, a qualifying member may receive a maximum of ninety (90) days from the Sick Leave Bank as a result of a personal illness, injury, disability, medical condition, or quarantine.

When filing an application for Sick Leave Bank benefits, the member must complete a Withdrawal Request Application and forward that application to the member's human resources office for signature and processing. For timely filing, submit the Withdrawal Request Application no earlier than two weeks prior but no later than thirty (30) days after expiration of all sick, compensatory, and annual leave.

For an initial request, a medical doctor/surgeon must complete and sign the Sick Leave Bank Medical Certification form and forward it directly to the Sick Leave Bank. Leave grants from the Bank may be for no more than twenty (20) consecutive days for which the member would otherwise be without pay. Members may submit additional requests for benefits by sending new Withdrawal Request Applications to their human resources office. The medical doctor/surgeon or a nurse practitioner/physician’s assistant working directly under the supervision of the medical doctor/surgeon may submit subsequent Medical Certification forms directly to the Sick Leave Bank on behalf of the employee.

Below are some forms that will help in your use of the Sick Leave Bank Program.

Sick Leave Bank Brochure/Enrollment Application

Sick Leave Bank Guidelines

Withdrawal Request Application Form

Medical Certification Form

Sick Leave Bank Checklist

Information for Current Membership:

2008 Sick Leave Bank Annual Assessment Letter

Contact your agency's Human Resources office about enrolling in the Sick Leave Bank or if you have any questions concerning applying for benefits.