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EXTENDED SICK LEAVE WITHOUT PAY REQUEST FORM If accrual balances have been exhausted, fill out this form for the initial request for sick leave without pay, and subsequent requests for additional

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How to fill out extended sick leave without

01

Obtain the extended sick leave form from your employer or from the relevant government department.

02

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

03

Provide your employer with the necessary medical documentation supporting your need for extended sick leave.

04

Indicate the duration of the sick leave you require by specifying the start and end dates.

05

Describe your medical condition or reasons for requiring extended sick leave in the provided section.

06

Submit the completed form to your employer or the relevant government department for approval.

07

Follow any additional instructions or requirements outlined by your employer or the relevant authorities.

08

Keep a copy of the completed form for your records.

Who needs extended sick leave without?

01

Extended sick leave without is needed by employees who have a medical condition or injury that prevents them from attending work for an extended period of time.

02

This can include individuals recovering from surgeries, undergoing treatment for chronic illnesses, or experiencing severe health issues that make it impossible to perform job duties.

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Extended sick leave without may also be applicable to pregnant women who need time off for antenatal care or complications during pregnancy.

04

Individuals with mental health conditions that require significant time for treatment and recovery may also be eligible for extended sick leave without.

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