Election-Worker Service Leave Request and Appointing-Authority Certification Packet - Delaware
ELECTION-OFFICER VACATION-LEAVE AND EMPLOYMENT-PROTECTION PACKET
Delaware — 15 Del. C. §§ 4702, 4706, and 4709
1. EMPLOYEE AND EMPLOYER
| Field | Entry |
|---|---|
| Employee | [________________________________] |
| Employer / worksite | [________________________________] |
| Position | [________________________________] |
| HR / supervisor | [________________________________] |
| Accrued vacation available | [________] hours |
2. APPOINTMENT
Department of Elections appointment:
- ☐ Original election-officer appointment under § 4702
- ☐ Replacement appointment under § 4706
Election / polling place / role: [________________________________]
Service dates and hours: [________________________________]
3. CRITICAL-NEED GATE
Section 4709 does not provide its protection to an employee in a critical need position. Review whether the position is in:
- ☐ Public safety
- ☐ Corrections
- ☐ Transportation
- ☐ Health care
- ☐ Utilities
- ☐ A small business employing 20 or fewer persons total
- ☐ Another position necessary for the business or industry to operate on election day
- ☐ None of the above after HR or counsel review
Coverage conclusion and reviewer: [________________________________]
4. VACATION-LEAVE REQUEST
The employee requests use of accrued, available vacation for election-officer service.
Requested vacation period: [________________________________]
Employee signature: __________________________ Date: ______________
5. DEPARTMENT CERTIFICATION
I certify that [EMPLOYEE] is appointed as an election officer for the service identified above.
Appointment type: ☐ Original ☐ Replacement
Required hours: [________________________________]
Department representative: ___________________ Date: ______________
Printed name / title / contact: [________________________________]
6. EMPLOYER RESPONSE
When the vacation and critical-need gates are satisfied, § 4709 prohibits deprivation of employment, threats, or coercion because the employee serves as an election officer on election day or otherwise serves under Chapter 47.
- ☐ Accrued vacation is available
- ☐ Position is not critical need
- ☐ Vacation request approved
- ☐ Critical-need or coverage review required
- ☐ Counsel review required
Employer representative: _____________________ Date: ______________
Decision delivered: [DATE / METHOD]
7. COMPLIANCE RECORD
Section 4709 supplies criminal-contempt consequences and a 90-day Superior Court civil route after a prohibited discharge for lost wages, reinstatement, and a reasonable attorney fee.
Issue and response: [________________________________]
OFFICIAL SOURCE VERIFIED
About this template
- Last updated
- August 10, 2026
- Citations checked
- August 10, 2026
- Jurisdiction
- Delaware
- Category
- Employment & HR
Legal authority
- 15 Del. C. § 4702 (Department appointment of election officers)
- 15 Del. C. § 4706 (replacement appointments)
- 15 Del. C. § 4709 (vacation and critical-need coverage gates, employment protection, penalties, and remedies)
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.
Not legal advice
This template is provided for informational purposes. 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 August 10, 2026.
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