Employees may make an irrevocable election to donate between 4 to 40 hours of PTO each calendar year to one or more of the charitable organizations designated by Queen’s. There is NO proration for part-time employees. PTO donation requests will be accepted at any time during the calendar year.

You may elect to donate a minimum of 4 hours and up to a maximum of forty (40) hours of your PTO hours to one or more of the Queen’s designated charities below:

• Aloha United Way (AUW)
• Hawaii Food Bank
• Queen’s Ohana to Ohana Fund
• Queen’s Investing in The Future of Nursing

By submitting this deduction authorization form, you understand the following:

• Your election to make this PTO donation is irrevocable.
• Your PTO hours will be reduced as a one-time deduction from your second pay check in January.
• The amount donated to the charity will be the gross cash value of those PTO hours multiplied by your hourly rate of pay.
• Your PTO donation is subject to all applicable taxes e.g. Federal, State, Social Security, etc. to be paid by the employee.