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PPSLA DONATION

RAFFLE!!!
1 ST PRIZE- GLOCK 30S (SMALL FRAME .45 AUTO) $600 VALUE
2ND PRIZE- GLOCK 43 (SINGLE STACK 9MM)$450 VALUE
YOU MUST SUBMIT YOUR DONATION FORM OF AT LEAST 11 HOURS NO
LATER THEN AUGUST 31, 2015 TO BE ELIGIBLE FOR THE RAFFLE!!!!!
On your August 21st paycheck, you will be receiving 11 hours of additional time in your vacation (BV) Bank. This
time is what was taken away from your 2 full time release positions, Executive Board, and Representatives. This is
time that we are asking for you to return to us by donating it so that we can use it for the work we do for you. The city
will only allow very limited activities be done on donated time and not paid time.
NOTE: YOU CAN SEND IN THE FORM IN ADVANCE AND THE TIME WILL NOT BE TAKEN UNTIL THE TIME
HAS BEEN DEPOSITED ON AUGUST 21ST, 2015.
Steps to donate:
1.

Print the attached form

2.

Fill it out
1.

Employee Name

2.

Employee ID

3.

Serial #

4.

Precinct/Bureau

5.

Number of vacation hours to donate (up to 24)

6.

Check Annual or One-Time (Annual is preferred, otherwise you will have to fill it out every year)

7.

Check "no" for Is this a modification to a previous annual donation

8.

Sign and Date

3. Inter-Office the form to PPSLA or Police Fiscal (attention Unit 6 Donation)