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Clear FormMIAMIDADE Counterpoint Formula RESOURCES DEPARTMENT SICK LEAVE CONVERSION PAYMENT REQUEST FORM Employee Idlest NameDeptDivLocFirst NameBargaining UnitClassificationTelephone InitialsPlease
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01
Fill out the header information at the top of the form, such as your name, employee ID, and contact details.
02
Provide the details of the medical condition that led to your sick leave and the dates of the leave.
03
Indicate the number of sick leave days you are converting into payment and calculate the total amount to be paid.
04
Attach any supporting documentation, such as medical certificates or doctor's notes, to validate your claim.
05
Sign and date the form to certify the accuracy of the information provided.
06
Submit the completed form to the appropriate department or individual responsible for processing sick leave conversion payment requests.

Who needs sick-leave-conversion-payment-requestpdf?

01
Employees who have accumulated unused sick leave days and are entitled to convert them into monetary compensation.
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It is a form used to request the conversion of sick leave into payment.
Employees who wish to convert their accrued sick leave into cash payment.
The form must be completed with the employee's information, sick leave balance, requested conversion amount, and any supporting documentation.
The purpose is to allow employees to convert their sick leave into monetary compensation.
Employee details, sick leave balance, amount to be converted, and any supporting documentation.
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