Templates Employment & HR Election-Worker Service Leave Request and Appointing-Authority Certification Packet

Election-Worker Service Leave Request and Appointing-Authority Certification Packet

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PRECINCT-ELECTION-OFFICIAL EMPLOYMENT-EXCUSE REQUEST AND APPOINTMENT CERTIFICATION

Alabama — Ala. Code §§ 17-8-1 and 17-8-13

This packet documents Alabama's narrow election-day employment excuse for an appointed precinct election official. It is separate from time off to vote.

1. EMPLOYEE AND EMPLOYER

Field Entry
Employee [________________________________]
Employer / worksite [________________________________]
Position [________________________________]
Normal election-day schedule [________________________________]
Supervisor / HR contact [________________________________]

Employer-size review:

Number of employees: [________]

  • ☐ Employer has more than 25 employees; continue with the statutory route.
  • ☐ Employer has 25 or fewer employees; § 17-8-13 does not apply.
  • ☐ Employee count requires Alabama-counsel review.

2. PRECINCT-ELECTION-OFFICIAL APPOINTMENT

County appointing board / authorized election office: [________________________________]

County / voting place / precinct: [________________________________]

Appointed role under Ala. Code § 17-8-1:

  • ☐ Inspector
  • ☐ Registration-list clerk
  • ☐ Poll-list clerk
  • ☐ Ballot clerk
  • ☐ Other precinct election official appointed under § 17-8-1: [________________________________]

Appointment date: [__/__/____]

Appointment document attached: ☐ Yes ☐ No

  • ☐ The appointing authority confirms that the employee was appointed as a precinct election official under Ala. Code § 17-8-1.

3. ELECTION-DAY EMPLOYMENT-EXCUSE REQUEST

Election date: [__/__/____]

Required service hours: [________________________________]

Expected overlap with scheduled work: [________________________________]

Employee request:

I request to be excused from employment for election day to perform the duties of the precinct-election-official position identified above.

Employee signature: __________________________ Date: ______________

Section 17-8-13 is election-day only. Do not automatically apply it to training, travel, setup on another day, early voting, canvassing, or other election activity without separate authority.

4. SEVEN-DAY DOCUMENTATION GATE

The appointee must furnish the employer proper documentation of the appointment and dates of required service at least seven days before the expected absence.

Documentation delivered on: [__/__/____]

Expected absence begins on: [__/__/____]

Calendar days between delivery and absence: [________]

Delivery method / recipient: [________________________________]

Documents furnished:

  • ☐ Appointment documentation
  • ☐ Required-service date documentation
  • ☐ Proof of delivery

5. APPOINTING-AUTHORITY CERTIFICATION

I certify that [EMPLOYEE] was appointed under Ala. Code § 17-8-1 and is required to serve on the election date identified above.

Certification item Entry
Appointed role [________________________________]
Election date [__/__/____]
Required service hours [________________________________]
Election-official compensation $[________]
Verification contact [________________________________]

Authorized signature: _________________________ Date: ______________

Printed name / title: [________________________________]

6. EMPLOYER RESPONSE AND PAYROLL TREATMENT

For a covered employee, § 17-8-13 requires an election-day excuse without penalty of loss of time. It does not require the employer to compensate the employee while the employee performs election duties.

  • ☐ Covered statutory employment excuse approved.
  • ☐ Unpaid absence recorded.
  • ☐ Paid civic leave under employer policy or another authority: [________________________________]
  • ☐ Accrued leave used under another lawful authority: [________________________________]
  • ☐ Employer-size or documentation gate not satisfied; counsel review required.

Payroll / attendance entry: [________________________________]

The statute's “without penalty of loss of time” wording should not be converted into an employer-pay promise. Any proposed attendance penalty or other adverse treatment connected to covered service should be reviewed by Alabama counsel.

Employer representative: _____________________ Date: ______________

Decision delivered: [DATE / METHOD]

7. POST-SERVICE CONFIRMATION

Actual election-day service hours: [________________________________]

Service confirmed by: [________________________________]

Election-official compensation received: $[________]

Employer attendance / payroll correction: [________________________________]

Issue requiring counsel review: [________________________________]

OFFICIAL SOURCES VERIFIED

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About This Template

Employment documents govern the relationship between a company and its workers, from offer letters and employment agreements through handbooks, performance reviews, and separations. Done right, they set clear expectations, protect against wrongful termination and discrimination claims, and give both sides a record to rely on. Done poorly, they invite lawsuits, agency complaints, and costly disputes.

Important Notice

This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on 2026-08-10.

Legal authority: Ala. Code § 17-8-13 (election-day employment excuse, seven-day documentation, employer-size threshold, and unpaid treatment); Ala. Code § 17-8-1 (appointment and duties of precinct election officials)

Last updated: 2026-08-10

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