Common use of EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE Clause in Contracts

EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by sickness accident from to inclusive. Nature of Sickness or Accident: Total Days: Date Employee’s Signature

EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by sickness accident (sickness) (accident) from to inclusive. Nature of Sickness or Accident: Total Days: Date Days Dated Employee’s Signature's Signature PHYSICIAN'S CERTIFICATE the undersigned, duly registered and qualified medical practitioner, certify that was under my care for days due to the above sickness. Dated Signature DECISION ON APPLICATION The application is approved is not approved

EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by sickness accident from to inclusive. Nature of Sickness or of Accident: Total Days: Date Date: Employee’s Signature

EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by sickness accident (sickness) (accident) from to inclusive. Nature of Sickness or AccidentTotal Days DATED CERTIFICATE Employee's Signature I the undersigned, duly registered and qualified medical practitioner certify that was under my care due to sickness and is fit to return to light work duties on regular If duties, state restrictions: Total Days: Date Employee’s SignatureDATED DECISION ON APPLICATION above application (1) is approved

EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by sickness accident (sickness) (accident) from to inclusive. Nature of Sickness or Accident: Total Days: Date Days DATED Employee’s 's Signature

EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by sickness accident (sickness)(accident) from to inclusive. Total days Nature of Sickness or Accident: Total Days: Illness Date Employee’s Employee Name (print) Employee Signature

EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by sickness accident from to inclusive. Nature of Sickness or of Accident: Total Days: to Date Employee’s Signature

EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for lor sick leave absence and certify that my absence was occasioned by sickness accident (sickness) (accident) from to inclusive. Nature of Sickness or AccidentTotal Days DATED Signature PHYSICIAN'S CERTIFICATE I the undersigned, duly registered and qualified medical practitioner certify that was care due lo sickness and is fit to return to work duties on regular light duties. state restrictions: Total Days: Date Employee’s SignatureDATED DECISION ON APPLICATION above application (1) is