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(615) 7415431 FAX (615) 5323209 EMAIL: SLB.SICKBANK@TN.GOVSICK LEAVE BANK MEDICAL CERTIFICATION COMPLETED FORM MUST BE FAXED OR EMAILED FROM THE MEDICAL OFFICE DIRECTLY TO THE SICK LEAVE BANK AT THE

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How to fill out sick leave bank application

01

Obtain a copy of the sick leave bank application form from your employer.

02

Fill out your personal information, including name, employee number, and contact details.

03

Provide information about the reason for your sick leave request, including the date of illness or injury.

04

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

05

Submit the completed application to the appropriate department or HR representative for review.

Who needs sick leave bank application?

01

Employees who need to take time off work due to illness, injury, or a medical condition may need to fill out a sick leave bank application in order to receive paid time off from their employer.

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What is sick leave bank application?

The sick leave bank application is a form used by employees to request additional paid time off from a pooled bank of sick leave hours.

Who is required to file sick leave bank application?

Employees who have exhausted their own sick leave hours and need additional time off for medical reasons are required to file a sick leave bank application.

How to fill out sick leave bank application?

To fill out a sick leave bank application, employees must provide their personal information, details of their medical condition, and any supporting documentation from a healthcare provider.

What is the purpose of sick leave bank application?

The purpose of the sick leave bank application is to request additional paid time off when an employee has depleted their own sick leave hours.

What information must be reported on sick leave bank application?

Information such as personal details, medical condition, and supporting documentation from a healthcare provider must be reported on a sick leave bank application.

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