Volunteer Emergency-Responder Work-Absence Notice and Verification Packet - Alabama
ALABAMA RED CROSS DISASTER-SERVICES LEAVE PACKET
State-agency employees — Ala. Code § 36-1-9
1. ELIGIBILITY WORKSHEET
| Field | Entry |
|---|---|
| Employee | [________________________________] |
| State agency | [________________________________] |
| Agency head | [________________________________] |
| Red Cross unit | [________________________________] |
- ☐ Employee works for a qualifying Alabama State agency, including a covered State office, court, or legislative entity.
- ☐ Employee is a certified American Red Cross Disaster Services Volunteer.
- ☐ Disaster is designated Level IV or above under American National Red Cross regulations and procedures.
- ☐ American Red Cross requested the employee's specialized disaster-relief services.
Prior leave in the current 12-month period: [____] workdays.
Requested leave: [____] workdays.
- ☐ Aggregate will not exceed 15 workdays.
2. EMPLOYEE REQUEST
I request paid leave from [START] through [END] to participate in specialized American Red Cross disaster-relief services.
Disaster, level, location, and duties: [________________________________]
Employee signature: __________________________ Date: ______________
3. RED CROSS REQUEST AND CERTIFICATION
The American Red Cross requests the specialized disaster-relief services of [EMPLOYEE], a certified Disaster Services Volunteer.
| Item | Verification |
|---|---|
| Disaster level | [________________________________] |
| Service period | [________________________________] |
| Location | [________________________________] |
| Specialized services | [________________________________] |
Red Cross official: __________________________ Date: ______________
4. AGENCY-HEAD RECOMMENDATION
- ☐ Recommend approval for [____] workdays
- ☐ More information required: [________________________________]
- ☐ Do not recommend: [________________________________]
- ☐ Agency productivity review completed; no loss of agency productivity will result
Agency head: _________________________________ Date: ______________
5. GOVERNOR'S DECISION AND PAYROLL RECORD
- ☐ Approved
- ☐ Not approved
- ☐ Conditions: [________________________________]
If granted, leave is paid at the employee's regular rate for regular work hours missed, without loss of seniority, pay, vacation time, sick time, or earned overtime accumulation.
Authorized representative: ____________________ Date: ______________
OFFICIAL SOURCE VERIFIED
About this template
- Last updated
- August 10, 2026
- Citations checked
- August 10, 2026
- Jurisdiction
- Alabama
- Category
- Employment & HR
Legal authority
- Ala. Code § 36-1-9 (Disaster Services Volunteer Leave Act of 1995)
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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