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EXTENDED SICK LEAVE WITHOUT PAY REQUEST FORM (LCHR14)Human Resources Department 200 W. Oak St, Ste 3200 Fort Collins, CO 80521 Phone (970) 4985970 Fax (970) 4985980×FORM PURPOSE: This form is only
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How to fill out extended sick leave without

01
To fill out extended sick leave without, follow these steps:
02
Obtain the necessary medical documentation from your healthcare provider. This may include a doctor's note or medical certificate.
03
Familiarize yourself with your company's policies and procedures regarding extended sick leave. This may include knowing the maximum duration of leave allowed and any required forms or notifications.
04
Contact your human resources department or supervisor to inform them of your need for extended sick leave. Provide them with any required documentation and follow their instructions for completing the necessary forms.
05
Complete the required forms accurately and thoroughly. Be sure to include all relevant information such as the expected duration of your leave and any necessary contact information.
06
Submit the completed forms and any supporting documentation to the appropriate channels, as specified by your company. Keep a copy for your records.
07
Await confirmation or approval of your extended sick leave. Depending on your company's procedures, this may come in the form of written confirmation or verbal communication from your supervisor or human resources department.
08
If necessary, provide periodic updates on your condition and progress to your employer as required. This may involve providing medical certificates or doctor's notes at specified intervals.
09
Follow any additional instructions or requirements provided by your employer throughout your extended sick leave period.
10
Upon your return from sick leave, notify your employer in advance and provide any required documentation or clearances as per your company's policies.
11
If you encounter any issues or difficulties during the process, seek assistance from your human resources department or a relevant authority within your organization.

Who needs extended sick leave without?

01
Extended sick leave without is typically needed by individuals who are unable to work for an extended period due to illness, injury, or medical reasons.
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Some common situations where extended sick leave without may be needed include:
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- Individuals with serious illnesses or chronic conditions that require significant treatment and recovery time.
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- Employees who have undergone major surgeries and require an extended period to recuperate.
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- Individuals with mental health conditions that require time off for therapy, counseling, or other treatments.
06
- Pregnant employees who need additional time off due to complications or medical reasons.
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- Employees who are caring for a family member with a serious illness or medical condition.
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It's important to consult with your healthcare provider and employer to determine if you qualify for extended sick leave without and to understand the specific requirements and procedures involved.
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Extended sick leave without is a leave of absence from work due to illness or injury that exceeds the normal sick leave entitlement.
Employees who are unable to work due to a serious illness or injury are required to file for extended sick leave without.
Extended sick leave without can be filled out by submitting a formal request to the employer along with medical documentation supporting the need for the leave.
The purpose of extended sick leave without is to provide employees with additional time off to recover from a serious illness or injury without risking their job security.
The information that must be reported on extended sick leave without includes the duration of the leave, the reason for the leave, and any supporting medical documentation.
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