Volunteer Emergency-Responder Work-Absence Notice and Verification Packet - Colorado
COLORADO CIVIL AIR PATROL MISSION-LEAVE PACKET
C.R.S. §§ 28-1-102 through 28-1-106
1. COVERAGE WORKSHEET
| Field | Entry |
|---|---|
| Employee / Civil Air Patrol member | [________________________________] |
| Colorado Wing unit | [________________________________] |
| Employer | [________________________________] |
| Position / worksite | [________________________________] |
Employer route:
- ☐ Public employer: State, political subdivision, municipal corporation, or other Colorado public agency
- ☐ Private employer; employment is not temporary
Mission gate:
- ☐ Actual emergency operational mission of the Colorado Wing
- ☐ Duly authorized under Civil Air Patrol regulations
- ☐ Authorization source: U.S. Air Force, Governor's Office, or other authorized political subdivision
2. LEAVE REQUEST
Mission identifier and authority: [________________________________]
Requested period: [START] through [END]
Prior covered leave:
- Public route: [____] workdays in the employer's current leave year
- Private route: [____] workdays in the current calendar year
Requested leave plus prior leave will not exceed fifteen workdays under the selected route.
Employee signature: __________________________ Date: ______________
3. CIVIL AIR PATROL VERIFICATION
I verify that [EMPLOYEE] was called to and satisfactorily performed the authorized Colorado Wing mission described below.
| Item | Verification |
|---|---|
| Mission / authorization | [________________________________] |
| Service period | [________________________________] |
| Relief from service | [________________________________] |
Authorized representative: ____________________ Date: ______________
4. EMPLOYER DECISION AND RETURN GATE
- ☐ Public route: approved without loss of pay or listed employment benefits for [____] workdays in the employer leave year.
- ☐ Private route: approved as leave without pay for [____] workdays in the calendar year, without loss of listed benefits or advantages.
Return requirement:
- ☐ Public employee returned on the next scheduled workday after relief.
- ☐ Public employee could not return because of injury or circumstances beyond control and notified the employer as soon as practicable before the next scheduled workday.
- ☐ Private employee returned as soon as practicable after relief.
Restoration:
- ☐ Returned to the same position and classification
- ☐ Returned to the statutorily permitted comparable / would-have-held position
- ☐ Counsel review required: [________________________________]
Employer representative: ______________________ Date: ______________
5. COMPLIANCE RECORD
Colorado law bars discrimination, discharge, hindrance, or prevention based on covered Civil Air Patrol membership or mission service. A violation may support damages or equitable relief, and the prevailing party is awarded reasonable attorney fees and costs.
| Item | Entry |
|---|---|
| Pay treatment | [________________________________] |
| Benefits preserved | [________________________________] |
| Return / restoration | [________________________________] |
| Follow-up | [________________________________] |
OFFICIAL SOURCE VERIFIED
About this template
- Last updated
- August 10, 2026
- Citations checked
- August 10, 2026
- Jurisdiction
- Colorado
- Category
- Employment & HR
Legal authority
- Colo. Rev. Stat. §§ 28-1-102 through 28-1-106 (authorized Colorado Wing Civil Air Patrol mission leave, separate public/private rules, benefit preservation, reinstatement, anti-discrimination, and civil 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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