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Curricula County Schools A Beacon for Excellence in Education ___ ___ Extended Sick Leave Request Form Employees Name: ___ Date: ___ Job Title: ___ Job Site: ___ Reason for Extended Sick Leave Request:
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How to fill out extended sick leave request

How to fill out extended sick leave request
01
To fill out an extended sick leave request, follow these steps:
02
Obtain the extended sick leave request form from your employer or human resources department.
03
Fill in your personal information, including your name, employee ID, and contact details.
04
Specify the start date and the expected end date of your sick leave.
05
Provide a detailed explanation of your medical condition and the reason for the extended sick leave request.
06
Attach any relevant medical documentation, such as doctor's notes or hospital reports, to support your request.
07
Review the form to ensure all the information is accurate and complete.
08
Submit the completed extended sick leave request form to your employer or human resources department.
09
Keep a copy of the form for your records.
10
Follow up with your employer to confirm receipt of the request and to inquire about any additional steps or documentation required.
Who needs extended sick leave request?
01
Extended sick leave requests are usually needed by employees who have sustained a serious illness or injury and are unable to work for an extended period of time.
02
These requests are typically made by individuals who require medical treatment, recovery time, or rehabilitation that exceeds the standard sick leave entitlement.
03
Employees facing long-term health issues or undergoing medical procedures often need extended sick leave to focus on their recovery and well-being.
04
Employers may require official documentation from a medical professional to support the need for extended sick leave.
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What is extended sick leave request?
Extended sick leave request is a formal application for an extended period of time off work due to illness or injury.
Who is required to file extended sick leave request?
Employees who need to take an extended period of time off work due to illness or injury are required to file extended sick leave request.
How to fill out extended sick leave request?
Extended sick leave request can be filled out by completing the designated form provided by the employer and submitting it along with any required documentation.
What is the purpose of extended sick leave request?
The purpose of extended sick leave request is to formally request time off work for an extended period of time due to illness or injury.
What information must be reported on extended sick leave request?
Extended sick leave request must include details such as the reason for the leave, expected duration, and any relevant medical documentation.
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