Election-Worker Service Leave Request and Appointing-Authority Certification Packet - Kentucky
ELECTION-OFFICER TRAINING OR SERVICE LEAVE REQUEST
Kentucky — KRS 118.035(4)
1. EMPLOYEE AND EMPLOYER
| Field | Entry |
|---|---|
| Employee | [________________________________] |
| Employer / worksite | [________________________________] |
| Normal schedule | [________________________________] |
| HR / supervisor | [________________________________] |
2. SELECTION AND PURPOSE
Selecting authority: [________________________________]
Election: [TYPE / DATE]
Election-officer role: [________________________________]
Purpose:
- ☐ Attend required election-officer training
- ☐ Serve as an election officer
Training or service date: [________________________________]
3. EMPLOYEE REQUEST
KRS 118.035(4) permits a selected election officer to be absent for an entire day to attend training or serve. The employer may specify the hours during which the employee may be absent.
Requested absence: [DATE / START / END]
Employee signature: __________________________ Date: ______________
4. SELECTING-AUTHORITY CERTIFICATION
I certify that [EMPLOYEE] was selected to serve as an election officer and is required for the training or service identified above.
Required hours: [________________________________]
Compensation, if any: [________________________________]
Authorized signature: _________________________ Date: ______________
Printed name / title / contact: [________________________________]
5. EMPLOYER HOURS AND PAY
Employer-specified absence hours: [________________________________]
Section 118.035(4) prohibits refusal, discharge, threatened discharge, or another penalty because the employee exercises the privilege. It does not itself state that the absence must be paid.
- ☐ Unpaid time
- ☐ Accrued paid leave voluntarily selected: [________________________________]
- ☐ Paid civic or administrative leave under another authority: [________________________________]
- ☐ Other: [________________________________]
6. EMPLOYER RESPONSE
- ☐ Selection confirmed
- ☐ Training route approved
- ☐ Election-service route approved
- ☐ Absence hours specified
- ☐ No penalty imposed
- ☐ Counsel / labor-relations review required
Employer representative: _____________________ Date: ______________
Decision delivered: [DATE / METHOD]
OFFICIAL SOURCE VERIFIED
About this template
- Last updated
- August 10, 2026
- Citations checked
- August 10, 2026
- Jurisdiction
- Kentucky
- Category
- Employment & HR
Legal authority
- Ky. Rev. Stat. § 118.035(4) (entire-day election-officer training or service absence and anti-penalty protection)
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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