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Houston Independent School District Supplemental Sick Leave Bank SSLB 2013-2014 Membership Enrollment and Termination Form Form must be received by the end of the pre-enrollment period on May 31 2013 Employee Name Last First Middle Employee ID Number XXX-XX- Phone Number Job Title Position Last 4 SSN Check One doing so I authorize the contribution of one local personal leave day to the HISD SSLB. Membership Termination Please cancel my SSLB membership for the 2013-2014 plan year. I...
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