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Get the free This form is to apply for days from the Sick Leave Bank

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The maximum number of days that any one participant can draw from the bank per request is 10 days. If additional days are needed you will need to reapply. Attach a copy of a doctor s statement. The Sick Leave Bank committee retains the right to request further information. Return this application as soon as possible to Bobi Roberts in the Payroll Office. Date I hereby request days from the Sick Leave Bank. By making this application I confirm that I have contributed one day of my sick leave...
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