Form HCM-33A (OP-110355) Attachment P "Request to Receive Shared Leave/Bank Leave" - Oklahoma

What Is Form HCM-33A (OP-110355) Attachment P?

This is a legal form that was released by the Oklahoma Department of Corrections - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the Oklahoma Department of Corrections;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HCM-33A (OP-110355) Attachment P by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.

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Download Form HCM-33A (OP-110355) Attachment P "Request to Receive Shared Leave/Bank Leave" - Oklahoma

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Rate (4.6 / 5) 14 votes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
Request to Receive 
Shared Leave/Bank Leave 
Form HCM‐33A
Employee Information 
Employee Name
PeopleSoft Employee ID
Agency Name 
Agency #
Work Location
I request approval to receive donated leave. I certify I am eligible for and require donated leave as authorized by 
Oklahoma Statutes (74 O.S. § 840‐2.23). 
Optional:  Request leave from Other Agency  
I affirm I have exhausted all annual and sick leave, and was unable to receive donated leave within my agency.
Optional:  HCM Online Shared Leave Registry  
I understand my first name, last initial, and agency information will be placed on the Shared Leave Registry.
I understand this information will be available for review by anyone having internet access, including individuals
outside of state government, and accept complete responsibility for this request.
Optional:  Request leave from Leave Bank  
I affirm I have exhausted all annual and sick leave, and worked with my agency and the Shared Leave Liaison, but
was unable to receive donated leave. 
Employee Signature
Date
Agency Verification and Approval 
Agency Contact Name
Contact Email
Phone 
Employee’s leave balance 
as of 
as of 
Annual Hours
Date
Sick Hours
Date
Previous shared leave usage (total hours):
(Interagency Shared Leave Request)
Authorization to 
(Leave Bank Request Only)
I verify employee has exhausted all 
list on Shared 
I verify employee has exhausted all annual/sick 
annual/sick leave and was unable to receive
Leave Registry
leave and was unable to receive donated leave 
donated leave within the agency.
through any available channels. 
Signature of Agency Verifying Official
Date
Approved
Disapproved 
Signature of Appointing Authority
Date
Signature of Shared Leave Liaison 
Date
OP-110355
Attachment P
(10/20)
Provide a copy of the final approved/disapproved form to employee.
OMES – FORM HCM‐33A (Revised 11/01/2018)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
Request to Receive 
Shared Leave/Bank Leave 
Form HCM‐33A
Employee Information 
Employee Name
PeopleSoft Employee ID
Agency Name 
Agency #
Work Location
I request approval to receive donated leave. I certify I am eligible for and require donated leave as authorized by 
Oklahoma Statutes (74 O.S. § 840‐2.23). 
Optional:  Request leave from Other Agency  
I affirm I have exhausted all annual and sick leave, and was unable to receive donated leave within my agency.
Optional:  HCM Online Shared Leave Registry  
I understand my first name, last initial, and agency information will be placed on the Shared Leave Registry.
I understand this information will be available for review by anyone having internet access, including individuals
outside of state government, and accept complete responsibility for this request.
Optional:  Request leave from Leave Bank  
I affirm I have exhausted all annual and sick leave, and worked with my agency and the Shared Leave Liaison, but
was unable to receive donated leave. 
Employee Signature
Date
Agency Verification and Approval 
Agency Contact Name
Contact Email
Phone 
Employee’s leave balance 
as of 
as of 
Annual Hours
Date
Sick Hours
Date
Previous shared leave usage (total hours):
(Interagency Shared Leave Request)
Authorization to 
(Leave Bank Request Only)
I verify employee has exhausted all 
list on Shared 
I verify employee has exhausted all annual/sick 
annual/sick leave and was unable to receive
Leave Registry
leave and was unable to receive donated leave 
donated leave within the agency.
through any available channels. 
Signature of Agency Verifying Official
Date
Approved
Disapproved 
Signature of Appointing Authority
Date
Signature of Shared Leave Liaison 
Date
OP-110355
Attachment P
(10/20)
Provide a copy of the final approved/disapproved form to employee.
OMES – FORM HCM‐33A (Revised 11/01/2018)