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This document is a leave application for unclassified staff at the University of Wisconsin-River Falls, requesting catastrophic leave due to personal or family medical conditions.
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How to fill out application for catastrophic leave

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How to fill out Application for Catastrophic Leave

01
Obtain the Application for Catastrophic Leave form from your HR department or company website.
02
Fill in your personal details, including your name, job title, and department.
03
Specify the duration of the leave you are requesting, including start and end dates.
04
Provide a detailed explanation of the reason for your catastrophic leave request, including any supporting documentation if required.
05
Review the completed application for accuracy and completeness.
06
Sign and date the application form.
07
Submit the application to your supervisor or the designated HR representative.

Who needs Application for Catastrophic Leave?

01
Employees who are facing a serious medical condition that prevents them from performing their job.
02
Workers who have a family member with a serious health issue and need to care for them.
03
Individuals who have exhausted all other leave options and require additional time off.
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Subject: Absence Due to Illness [Supervisor Last Name], I regret to inform you that I was unable to attend work on [date] due to a sudden illness. Unfortunately I needed urgent medical attention, which prevented me from fulfilling my duties for the day. Please accept this letter as formal notification of my absence.
Catastrophic Leave permits salary and benefit continuation for employees who have exhausted all paid leave because of their own serious injury or illness, the need to care for a seriously injured or ill family member, or they reside in a county where the Governor has declared a state of emergency because of a natural
Example 6: Sick leave application Subject: Request for Sick Leave - [Start Date] to [End Date] Dear [Manager's Name], I am unwell and have been advised to take rest for [X] days. I am requesting for sick leave from [Start Date] to [End Date] to focus on recovery. Sincerely, [Your Name] [Your Designation]
Dear (Supervisor's Name), I regret to inform you that I am feeling unwell and will not be able to come into work today. I woke up with (symptoms) and it is best for me to take a sick day to recover and prevent the spread of any potential illness.
Dear (Manager's Name), I am writing to request a leave of absence from work from (start date) to (end date) due to the medical emergency affecting my parents. My (mother/father), (name), has been hospitalized with (medical condition) and requires additional care and support during their recovery.
Dear Sir/Madam, I regret to inform you that my (relation with the deceased), (Name of the Deceased), has passed away. I kindly request leave from (Start Date) to (End Date) to attend the funeral ceremony and perform the necessary rituals. I assure you that I will catch up on any missed lessons upon my return.
I would like to inform you that I need to attend a family function in my home town. Hence, I request you to kindly grant me leave for [number of days] days from [start date] to [end date]. I assure you that I will catch up with the missed lessons upon my return. Thank you for your understanding.
Dear Mr./Mrs. {Recipient's Name}, I am down with fever and flu because of which I will not be able to come to the office for at least {X days}. As per my family doctor, it is best that I take rest and recover properly before resuming work.

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An Application for Catastrophic Leave is a formal request made by an employee to obtain extended leave due to a severe medical condition or family emergency that necessitates their absence from work.
Employees who experience a serious illness, injury, or family emergency that prevents them from performing their job duties are required to file an Application for Catastrophic Leave.
To fill out the Application for Catastrophic Leave, an employee should complete the designated form by providing personal information, detailing the nature of their medical condition or emergency, and obtaining necessary signatures from healthcare providers if required.
The purpose of the Application for Catastrophic Leave is to allow employees to take necessary time off work to address severe health issues or family emergencies without the fear of losing their job or income.
The Application for Catastrophic Leave must report the employee's name, job title, the dates of requested leave, a description of the medical condition or family emergency, and any supporting documentation such as medical certificates or notes.
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