"Return of '"unused'" Leave Bank Leave" - Maryland

Return of '"unused'" Leave Bank Leave is a legal document that was released by the Maryland Department of Budget and Management - a government authority operating within Maryland.

Form Details:

  • Released on July 1, 2021;
  • The latest edition currently provided by the Maryland Department of Budget and Management;
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O
P
S
B
FFICE OF
ERSONNEL
ERVICES AND
ENEFITS
STATE LEAVE BANK PROGRAM
RETURN OF “UNUSED” LEAVE BANK LEAVE
Per COMAR 17.04.11.23 O.2, “If an employee who receives leave from the Bank does not
use all of the leave received, the remaining hours of leave automatically revert to the Bank.”
Please use this form to return any unused leave from the Leave Bank as required. It is
important to return any unused leave to ensure that the employee’s lifetime usage is up
to date. Any leave not returned will count towards their lifetime amount of 2080 hours.
Also, use this form to report any forfeited hours due to separation of service.
Please fill in all applicable lines below to properly return all unused, including forfeited,
leave:
Agency: (i.e. DBM, MDH, etc.)
Employee’s Name:
Employee’s W#:
Approved Hours:
Unused/Forfeited Hours:
LB
Personal
Sick
Annual
Dates Approved:
Date Returned to Work:
Or Date of Separation:
Name of LB Coordinator or
Agency Timekeeper:
Thank you for complying with this requirement. Upon completion this form should be
sent via secure email to the Leave Bank Unit at
leave.bank@maryland.gov
by the agency
Leave Bank Coordinator or Agency Timekeeper.
LBU - 7/2021
O
P
S
B
FFICE OF
ERSONNEL
ERVICES AND
ENEFITS
STATE LEAVE BANK PROGRAM
RETURN OF “UNUSED” LEAVE BANK LEAVE
Per COMAR 17.04.11.23 O.2, “If an employee who receives leave from the Bank does not
use all of the leave received, the remaining hours of leave automatically revert to the Bank.”
Please use this form to return any unused leave from the Leave Bank as required. It is
important to return any unused leave to ensure that the employee’s lifetime usage is up
to date. Any leave not returned will count towards their lifetime amount of 2080 hours.
Also, use this form to report any forfeited hours due to separation of service.
Please fill in all applicable lines below to properly return all unused, including forfeited,
leave:
Agency: (i.e. DBM, MDH, etc.)
Employee’s Name:
Employee’s W#:
Approved Hours:
Unused/Forfeited Hours:
LB
Personal
Sick
Annual
Dates Approved:
Date Returned to Work:
Or Date of Separation:
Name of LB Coordinator or
Agency Timekeeper:
Thank you for complying with this requirement. Upon completion this form should be
sent via secure email to the Leave Bank Unit at
leave.bank@maryland.gov
by the agency
Leave Bank Coordinator or Agency Timekeeper.
LBU - 7/2021