Get the free REQUEST FOR EXTENDED SICK LEAVE - University of Maryland - hr umbc
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REQUEST FOR EXTENDED SICK LEAVE The Extended Sick Leave Policy is in Section VII.7.45 of the MBC Policies website (www.umbc.edu/policies). PART I: To be completed by the Employee Name: Emil ID #:
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How to fill out request for extended sick
How to fill out a request for an extended sick leave:
01
Start by obtaining the necessary forms: Contact your employer or human resources department to request the specific form required for requesting an extended sick leave. They will guide you on where to find the form and provide any additional instructions.
02
Fill in your personal information: Begin by providing your full name, employee ID, position/title, contact information, and any other relevant identification details that the form requires. Ensure that all the information provided is accurate and up to date.
03
State the reason for the extended sick leave: Clearly explain the medical condition or circumstances that require you to take an extended sick leave. This could include a serious illness, surgery, or any other valid medical reason. Be specific and concise when describing the reasons for your request.
04
Include supporting documentation: If required by your employer or company policy, attach any relevant medical documentation to support your request. This may include doctor's notes, medical reports, or any other evidence that validates your need for an extended sick leave.
05
Indicate the requested duration of the sick leave: Specify the exact dates you anticipate being absent from work due to your medical condition. Be sure to include the start and end dates of your requested leave period. Ensure that the duration is reasonable and aligns with company policies.
06
Provide a contact person and details: Include the contact information of a person who can be contacted during your absence. This could be a family member, a close friend, or your primary healthcare provider. This ensures that your employer can reach out for any necessary communication or updates during your sick leave.
07
Sign and date the request form: Read through the entire form carefully to ensure that you have completed all the required sections accurately. Once you have reviewed and are satisfied with the information provided, sign and date the request form at the appropriate space designated for your signature.
Who needs a request for extended sick leave?
Those who require an extended sick leave include:
01
Employees who have a serious illness or medical condition that requires a longer recovery period.
02
Individuals who need to undergo surgery or medical procedures that necessitate an extended absence from work.
03
Individuals with chronic health issues that periodically require extended periods of rest and treatment.
04
Employees who have experienced a significant, unforeseen medical event or accident that requires extensive recovery time.
05
Individuals who have exhausted their regular sick leave and require additional time off for recuperation.
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What is request for extended sick?
Request for extended sick is a formal application made by an employee to request additional time off due to a medical condition.
Who is required to file request for extended sick?
The employee who needs additional time off due to a medical condition is required to file a request for extended sick.
How to fill out request for extended sick?
To fill out a request for extended sick, the employee needs to provide information about their medical condition, expected duration of time off, and any supporting documentation.
What is the purpose of request for extended sick?
The purpose of a request for extended sick is to formally request additional time off due to a medical condition in compliance with company policies.
What information must be reported on request for extended sick?
The request for extended sick must include information about the medical condition, expected duration of time off, and any supporting documentation from a healthcare provider.
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