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CATASTROPHIC SICK LEAVE REQUEST CERTIFICATED EMPLOYEE TO: Executive Director of Human Resources FROM: RE: Request for Catastrophic Sick Leave DATE: I hereby request the use of catastrophic sick leave.
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How to fill out catastrophic sick leave request

How to Fill Out Catastrophic Sick Leave Request:
01
Obtain the necessary form: Start by acquiring the catastrophic sick leave request form from your employer or the relevant human resources department.
02
Provide your personal information: Fill in your full name, employee ID or number, department, and contact information such as phone number and email address on the designated fields.
03
Specify the leave period: Indicate the start and end date of the requested leave period due to your catastrophic illness. Include the anticipated duration of your absence, keeping in mind any medical documentation that may be required.
04
Explain the nature of the illness: Provide a brief description of the catastrophic illness or condition you are facing. This may include medical diagnoses or related details to support your request.
05
Attach supporting documentation: Depending on your employer's policy, you might need to submit medical records, doctor's notes, or other relevant documents as evidence of the catastrophic illness.
06
Indicate if you have utilized any other leave options: If you have already utilized other types of leave, such as sick leave, vacation days, or medical leave, mention this in the appropriate section of the form.
07
Review and sign: Carefully review the form for accuracy and completeness. Ensure that you have filled out all the required fields and attached any necessary supporting documentation. Sign the form and date it.
08
Submit the request: Once the form is completed, submit it according to your organization's procedures. This may involve handing it to your supervisor, the human resources department, or using an online submission system if available.
09
Keep a copy for your records: Make a copy of the filled-out form and any supporting documents for your personal records. This will serve as documentation should any questions or issues arise regarding your sick leave request.
Who Needs Catastrophic Sick Leave Request:
01
Employees facing severe long-term illnesses: Catastrophic sick leave requests are typically applicable to individuals who are dealing with catastrophic illnesses or conditions that incapacitate them for a significant amount of time.
02
Those requiring extended medical treatment: If the treatment for a serious illness requires a prolonged absence from work, an employee may qualify for catastrophic sick leave.
03
Individuals with documented chronic conditions: Some chronic illnesses or conditions that severely limit an individual's ability to perform their job duties may warrant the use of catastrophic sick leave.
04
Employees with prior approval from their employer: In most cases, prior approval from the employer or human resources department is necessary to request and be granted catastrophic sick leave. Policies on who qualifies for catastrophic sick leave may vary depending on the organization.
Remember, it is important to consult your employer's policies and procedures regarding catastrophic sick leave, as each organization may have different requirements and conditions for approval.
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What is catastrophic sick leave request?
Catastrophic sick leave request is a specific type of leave request for employees who have experienced a serious illness or injury.
Who is required to file catastrophic sick leave request?
Employees who are facing a serious illness or injury and need time off work are required to file a catastrophic sick leave request.
How to fill out catastrophic sick leave request?
Employees can fill out a catastrophic sick leave request form provided by their employer or HR department, detailing the nature of their illness or injury.
What is the purpose of catastrophic sick leave request?
The purpose of a catastrophic sick leave request is to provide employees with time off work to focus on their recovery without fear of losing their job or income.
What information must be reported on catastrophic sick leave request?
Employees must report information such as their diagnosis, treatment plan, expected duration of leave, and any relevant medical documentation.
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