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Extended Sick Leave DEC (Local) Request Form Extended Sick Leave DEC (Local) After all available state and local leave days have been exhausted, a full time employee shall be granted in a 24-month

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How to fill out extended sick leave

01

Obtain the extended sick leave form from your employer or download it online

02

Fill in your personal information, including your name, address, and contact details

03

Provide the dates of your sick leave and the reason for the extended sick leave

04

Attach any necessary medical documentation, such as a doctor's note or medical certificate

05

Submit the completed form to your employer or HR department

06

Follow any additional steps or requirements specified by your employer

Who needs extended sick leave?

01

Individuals who have been diagnosed with a serious illness or injury that requires an extended period of time off work

02

Those who are undergoing medical treatments or surgeries that necessitate a longer recovery period

03

Individuals with chronic health conditions that may periodically require time off work

04

Pregnant women who require additional time off due to pregnancy-related complications

05

Employees who have exceeded their regular sick leave entitlement and need to take further time off due to illness or injury

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What is extended sick leave?

Extended sick leave is a period of time off work granted to an employee due to a serious illness or medical condition that requires an extended recovery period.

Who is required to file extended sick leave?

Employees who are unable to work due to a serious illness or medical condition may be required to file for extended sick leave.

How to fill out extended sick leave?

Extended sick leave forms can typically be obtained from the employer's HR department and must be completed with relevant medical information.

What is the purpose of extended sick leave?

The purpose of extended sick leave is to provide employees with the necessary time off to recover from a serious illness or medical condition without risking their job security.

What information must be reported on extended sick leave?

Employees may be required to report their medical diagnosis, treatment plan, and expected duration of leave on extended sick leave forms.

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