Sick Leave Request Form Sample Clauses

Sick Leave Request Form. The Employer shall require an employee to furnish a standard written and signed statement explaining the nature of the illness or injury to justify the use of sick leave. Falsification of either a written, signed statement or a physician’s certificate shall be grounds for disciplinary action.
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Sick Leave Request Form. 1. Please read the entire Employee Statement. To be eligible for the program, you must check all 7 boxes.
Sick Leave Request Form. Sick leave pay shall be approved only upon submission of a signed request form available in the office.

Related to Sick Leave Request Form

  • Extended Sick Leave When sick leave extends for more than 25 consecutive working days, the appointing authority shall initiate the following procedure:

  • Sick Leave Conversion On January 1 of each year, an employee may convert up to a maximum of 30 hours accumulated sick leave at fifty percent (50%) cash value for the sole purpose of reimbursing the employee for medical costs. This conversion is subject to the following:

  • Sick Leave Verification Process a. The new school district shall provide the employee with the necessary verification form at the time the employee receives confirmation of employment in the school district.

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