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BAY CITY ISD LEAVE REQUEST FORMEMERGENCY PAID SICK LEAVE AND EXPANDED FAMILY AND MEDICAL LEAVE NameEmployee Department/campusPositionEmailPhone numberDateDuration of leave (specify dates requested)

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How to fill out extended sick leave request

01

Obtain the extended sick leave request form from your HR department or download it from the company's online portal.

02

Fill out your personal information including your name, employee ID, department, and contact information.

03

Provide details of your illness or medical condition that requires you to take extended sick leave.

04

Attach any supporting medical documentation such as a doctor's note or medical certificate.

05

Indicate the duration of the sick leave requested and the expected date of return to work.

06

Submit the completed form to your HR department for approval.

Who needs extended sick leave request?

01

Employees who are experiencing a serious illness or medical condition that requires them to be away from work for an extended period of time.

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What is extended sick leave request?

Extended sick leave request is a form submitted by an employee who needs to be on leave from work for an extended period of time due to illness or injury.

Who is required to file extended sick leave request?

Any employee who needs to be on extended sick leave due to illness or injury is required to file an extended sick leave request.

How to fill out extended sick leave request?

Extended sick leave request form can usually be obtained from the Human Resources department or employer's website. The employee must fill out the form with their personal information, reason for leave, expected duration, and any supporting medical documentation.

What is the purpose of extended sick leave request?

The purpose of extended sick leave request is to notify the employer of the employee's need to be on leave for an extended period of time due to illness or injury.

What information must be reported on extended sick leave request?

The extended sick leave request must include the employee's personal information, reason for leave, expected duration, and any supporting medical documentation.

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