Election-Worker Service Leave Request and Appointing-Authority Certification Packet
STATE- OR COUNTY-EMPLOYEE ELECTION-JUDGE ADMINISTRATIVE-LEAVE PACKET
Maryland — Election Law § 10-202(d); 2026 DBM Memorandum and SBE FAQ
This packet documents the statutory scheduled-work-hours route for a Maryland State or county employee serving as an election judge. Separate modules identify the additional current program rules for a regular, non-contractual Maryland State employee. It is not a time-off-to-vote form.
1. PUBLIC-EMPLOYEE COVERAGE GATE
| Field | Entry |
|---|---|
| Employee | [________________________________] |
| State agency or county employer | [________________________________] |
| Position / worksite | [________________________________] |
| Employment percentage | [________]% |
| Normal schedule | [________________________________] |
| Supervisor | [________________________________] |
| Timekeeper / HR contact | [________________________________] |
Employer route:
- ☐ Maryland State employee — continue through the statutory route and applicable State-program modules.
- ☐ Maryland county employee — use the statutory scheduled-work route and current county procedures; do not apply State-only modules without written authority.
State-program confirmations, if applicable:
- ☐ Employee is a regular Maryland State employee.
- ☐ Employee is not a contractual State employee.
-
☐ Agency HR confirms the employee is covered by the current State administrative-leave program.
-
☐ Any collective-bargaining, higher-education, independent-personnel-system, agency-specific, or county-specific overlay has been reviewed.
2. ELECTION-JUDGE SELECTION
Local board of elections: [________________________________]
Election / date: [________________________________]
Service type:
- ☐ Early voting
- ☐ Primary Election Day
- ☐ General Election Day
- ☐ Special statewide election
- ☐ Baltimore City municipal election — HR or counsel confirmed current coverage
- ☐ Other municipal or local election — do not claim State-program coverage without current written confirmation
Assigned jurisdiction and voting location: [________________________________]
Election-judge role: [________________________________]
- ☐ Employee is a registered voter in Maryland.
- ☐ Local board has selected or appointed the employee.
- ☐ Local board has confirmed all current eligibility and conflict rules.
Selection or appointment evidence attached: ☐ Yes ☐ No
3. REQUIRED TRAINING — SEPARATE LEAVE TREATMENT
Training date / hours: [________________________________]
The current SBE FAQ states that election-judge training is required but does not earn this administrative leave. If training occurs during the employee's regular schedule, the employee must use an otherwise available leave category approved by the agency.
- ☐ Training occurs outside the employee's work schedule.
- ☐ Separate employee leave requested for training: [TYPE / HOURS]
- ☐ HR confirmed another treatment: [________________________________]
4. ADVANCE SUPERVISOR REQUEST
The employee requests approval to serve as an election judge and provides as much prior notice as possible so the agency can accommodate necessary scheduling changes.
Request date: [__/__/____]
Requested service date(s): [________________________________]
Scheduled work hours on each service date: [________________________________]
Anticipated election-judge hours: [________________________________]
Operational coverage information: [________________________________]
Employee signature: __________________________ Date: ______________
5. SUPERVISOR DECISION
- ☐ Approved as requested.
- ☐ Approved with this schedule adjustment: [________________________________]
- ☐ Not approved for these documented operational reasons: [________________________________]
- ☐ Referred to HR or counsel for coverage or leave-calculation review.
Supervisor signature: _________________________ Date: ______________
HR review, if required: ________________________ Date: ______________
6. LEAVE-CREDIT ROUTE
Select and document the applicable route for each day.
A. Scheduled-work statutory route
For a State or county employee's service during hours the employee otherwise was scheduled to work for the State or county, § 10-202(d) provides one hour of administrative leave for each hour of election-judge service, up to eight hours for each day of service.
| Item | Hours |
|---|---|
| Scheduled work hours | [________] |
| Election-judge service hours | [________] |
| Overlap between service and scheduled work | [________] |
| Administrative leave before daily cap | [________] |
| Administrative leave after eight-hour daily cap | [________] |
B. Early-voting State-program route
The current SBE FAQ states that a covered State employee may earn up to eight hours of administrative leave for each early-voting service day. Confirm the credit with agency HR, especially when the day was not otherwise scheduled for work.
This module does not establish a county-employee credit beyond the scheduled-work statutory route. A county employee should attach the county's current written authority for any broader credit.
Approved early-voting credit: [________] hours
C. General Election State-holiday route
The January 20, 2026 DBM memorandum records authorization for regular State employees serving as election judges on the General Election State holiday to receive up to eight hours of administrative leave even when not scheduled to work.
This State holiday module does not govern a county employee unless the county supplies separate written authority.
Approved State-holiday credit: [________] hours
D. Part-time proration
The current FAQ states that a part-time State employee receives a prorated amount based on the employee's employment percentage.
For a county employee, use § 10-202(d)'s actual scheduled-work-hours calculation and current county procedure rather than importing the State FAQ's proration rule.
Full-time-equivalent credit: [________] hours
Employment percentage: [________]%
Prorated credit: [________] hours
HR / timekeeper calculation: [________________________________]
7. ELECTION-BOARD SERVICE CONFIRMATION
The employee must obtain the local board's service form or other current documentation confirming the dates and hours of election-judge service.
I certify that [EMPLOYEE] served as a Maryland election judge as follows:
| Service date | Jurisdiction / location | Start | End | Total hours |
|---|---|---|---|---|
| [__/__/____] | [________________________________] | [____] | [____] | [________] |
| [__/__/____] | [________________________________] | [____] | [____] | [________] |
Local board representative: [________________________________]
Signature / date: [________________________________]
Official service form attached: ☐ Yes ☐ No
8. COMPENSATION AND LEAVE
Section 10-202(d) provides both the applicable administrative leave and the separate election-judge compensation. The current State materials do not direct the employee to offset or remit the local jurisdiction's election-judge compensation.
Election-judge compensation received or expected: $[________]
Paying jurisdiction: [________________________________]
- ☐ Administrative leave calculated separately from election-judge compensation.
- ☐ No fee offset or remittance imposed without current written authority.
9. POST-SERVICE TIMEKEEPER CREDIT
Documentation submitted after return to work on: [__/__/____]
| Service date | Route used | Credited hours | Workday / timekeeping entry |
|---|---|---|---|
| [__/__/____] | [A / B / C / D] | [________] | [________________________________] |
| [__/__/____] | [A / B / C / D] | [________] | [________________________________] |
For a covered State employee, the current FAQ states that earned administrative leave has no expiration date but is forfeited if unused before separation from State service. A county employee should record only the county's current written carryover, use, and forfeiture rules.
Available balance after credit: [________] hours
Timekeeper signature: _________________________ Date: ______________
10. CLOSEOUT
- ☐ Supervisor approval obtained before service
- ☐ Maximum practicable prior notice documented
- ☐ Local board service form received
- ☐ Training time excluded from this administrative-leave credit
- ☐ Daily eight-hour cap applied
- ☐ Part-time proration applied, if required
- ☐ General Election holiday authorization applied only if current and applicable
- ☐ Service occurred in Maryland
- ☐ Compensation and leave recorded separately
- ☐ State employee advised that unused leave is forfeited at separation under the current FAQ, if applicable
- ☐ County employee treatment rests on current county procedure rather than a State-only memorandum or FAQ
HR representative: ____________________________ Date: ______________
OFFICIAL SOURCES VERIFIED
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: Md. Code Ann., Elec. Law § 10-202(d) and (f) (State- or county-employee administrative leave, election-judge compensation, and standardized documentation); Maryland DBM memorandum, Administrative Leave for State Employees Serving as Election Judges (Jan. 20, 2026); Maryland State Board of Elections, State Employee Administrative Leave FAQ (rev. Apr. 10, 2026)
Last updated: 2026-08-10
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