Kiel Program Donor Form
To donate to the Kiel Program, a donor must complete a Vacation or PTO Donation Form. The Donor Form is submitted to the donor's supervisor, who forwards it to Duke Benefits. The Kiel Program Donor Form should be sent to Duke Benefits at 705 Broad Street (Box 90502), Durham, NC 27705 (fax number 919-681-8774).
In order to ensure that submitted application and donation forms get processed in time for payroll cutoff schedules all documents (applications, certifications of health care providers, and donations) will need to be submitted to the Benefits Department (fax 919-681-8774) no later than noon on the cutoff dates listed here.
| Form Name | Format |
|---|---|
| Kiel Program Donor Form | |
| Kiel Program Donor Form | Word |
* Some Duke HR forms may require you to list your Duke Unique ID. If you do not know or are unsure of your Duke Unique ID, you can look it up here.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.