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Utah County Office of Personnel Management 100 East Center Street, Suite 3800, Provo, UT 84606 EM: personnel×utahcounty.gov * Fax: 8018518166 * PH: 8018518158SICK LEAVE CONVERSION FORM You may be
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How to fill out sick leave conversion form

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How to fill out sick leave conversion form

01
Obtain a copy of the sick leave conversion form from your employer or the HR department.
02
Read the instructions and requirements for filling out the form carefully.
03
Fill out your personal details, including your name, employee ID, and contact information.
04
Specify the dates of your sick leave and provide any necessary supporting documentation or medical certificates.
05
Calculate the total number of sick leave days you have taken and fill in the appropriate section.
06
If you wish to convert your sick leave to another form of leave, indicate your preferred type of leave and the duration.
07
Sign and date the form to certify that the information provided is true and accurate.
08
Submit the completed form to the designated department or individual as instructed.
09
Keep a copy of the filled out form for your records.

Who needs sick leave conversion form?

01
Employees who have taken sick leave and wish to convert it to another form of leave need to fill out the sick leave conversion form. This form is generally required by employers or HR departments to process the conversion of sick leave to other types of leave, such as annual leave or unpaid leave.
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It is a form used to convert unused sick leave into a retirement credit.
Government employees who are eligible for sick leave conversion benefits.
The form must be filled out with accurate information about the employee's unused sick leave and submitted to the appropriate department.
The purpose is to allow government employees to convert their unused sick leave into retirement credits.
The form must include details of the employee's unused sick leave balance and personal information.
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