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PORTABLE SICK LEAVE CLAIM FORM
OFFICE USE ONLYClaim numberReferenceINSTRUCTIONSCOMPLETE THIS FORM IFIMPORTANTSection You are a permanent worker who has
suffered an accident or illness, outside
working
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The 'what if I need' form is used to report any anticipated changes in circumstances that may affect your eligibility for benefits or the amount of benefits you receive.
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