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Appendix D Catastrophic Leave Request Form (SEA) I, do hereby apply for catastrophic leave in accord Name of Employee with Article 13 of the Agreement between SEA and its Chapter 620, and the Cone

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How to fill out catastrophic leave request form

01

Obtain a catastrophic leave request form from your Human Resources department.

02

Fill out your personal information, such as your name, employee ID, and contact details.

03

Specify the reason for your catastrophic leave request, providing details about the situation.

04

Indicate the duration of the leave you are requesting.

05

Attach any necessary supporting documents or medical records to substantiate your request.

06

Sign and date the form.

07

Submit the completed form to your supervisor or HR department for review and approval.

Who needs catastrophic leave request form?

01

Any employee who is facing a severe personal or family medical emergency and requires an extended leave of absence can use the catastrophic leave request form.

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What is catastrophic leave request form?

A catastrophic leave request form is a document that employees use to request leave due to a catastrophic event, such as a serious illness or injury, that impacts their ability to work.

Who is required to file catastrophic leave request form?

Employees who are experiencing a qualifying catastrophic event and wish to request additional leave beyond their available paid leave balances are required to file a catastrophic leave request form.

How to fill out catastrophic leave request form?

To fill out a catastrophic leave request form, employees need to provide personal information, details of the catastrophic event, the dates of requested leave, and any necessary medical documentation.

What is the purpose of catastrophic leave request form?

The purpose of the catastrophic leave request form is to formally request time off from work due to serious personal circumstances that affect the employee's health and ability to perform their job.

What information must be reported on catastrophic leave request form?

The information that must be reported includes employee details, the nature of the catastrophic event, the start and end dates of the leave, and supporting documentation, such as medical certificates.

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