APEA/AFT Membership Form
Membership form -
AlaskaCare Employee Forms and Publications
Forms are available on the AlaskaCare website
AlaskaCare Employee Forms and Publications Index
We have a “Catastrophic Leave Bank” that is maintained by our
union for our members to access in times of extreme need and/or extended absence
from the job due primarily to FMLA issues. The bank is funded entirely from SU
members, who upon separation of state service, “had” sick leave on the books
when annual and sick leave (50%) converted to Personal Leave several years ago.
We negotiated this benefit in 2000 and there is no deduction from any active
members leave or contribution required for this benefit.
There are several criteria one must meet in order to qualify for
up to 300 hours of catastrophic leave. Please click on the form below for those
Other than meeting the criteria, the process is simple. Your
Physician must attest to the amount of time you or your family member will need
for the medical condition and sign the form.
You must return the form to Carol Gray in our union
headquarters office who will submit your request to the state and answer any
questions you have about this benefit. Email
telephone number is 586-2334.
My telephone number is 465-6178 or you can email me at
firstname.lastname@example.org if you have any questions.
I hope none of you ever have to use these hours but I wanted to
let everyone know that they are available.
John White President, Local 4900 State Supervisors
Catastrophic Leave Form