Get the free Sick Form 2012 - lse ac

SICKNESS ABSENCE NOTIFICATION PLEASE PRINT CLEARLY NAME POST DEPARTMENT/ DIVISION FIRST DAY UNFIT FOR WORK not necessarily a working day / / Half Day? a.m. p.m. LAST DAY UNFIT FOR WORK not necessarily

How to fill out sick form 2012

How to fill out sick form 2012:

1. Begin by filling out the personal information section of the form, including your name, address, phone number, and date of birth.
2. Next, indicate the reason for your sickness or injury in the designated section. Be specific and provide as much detail as possible.
3. Specify the date and time when your illness or injury began. Include any relevant information about when you sought medical attention or received treatment.
4. If applicable, provide the name and contact information of the healthcare professional who has been treating you for the sickness or injury.
5. Indicate whether you have been admitted to a hospital or if you have had any surgeries related to the illness or injury. If so, provide the relevant details.
6. In the section for your employer's information, include the name of your employer, their contact information, and your job title or position.
7. If your sickness or injury has affected your ability to perform your job duties, include a brief description of how your condition has impacted your work.
8. Sign and date the form to certify that the information you have provided is true and accurate.

Who needs sick form 2012:

1. Any individual who is experiencing a sickness or injury that requires medical attention and time off work may need to fill out the sick form 2012.
2. This form is usually required by employers to document the employee's absence from work due to illness or injury.
3. Employers may use the sick form 2012 to keep track of the employee's medical history and determine if any further actions are necessary, such as providing accommodations or approving sick leave.

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