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LAKE SHORE CENTRAL SCHOOLS
Cancer Screening Leave Request FormPursuant to New York State Law, employees are entitled to four (4) hours annually (one four-hour period between 7/1 and 6/30) for the
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How to fill out cancer screening leave request

How to fill out cancer screening leave request
01
Get the necessary forms from your HR department or doctor
02
Fill out the requested personal information, including your name, contact information, and date of birth
03
Provide information about your cancer screening appointment, including the date, time, and location
04
Attach any relevant medical documentation, such as a doctor's note or appointment confirmation
05
Submit the completed form to your HR department for approval
Who needs cancer screening leave request?
01
Employees who need to take time off work for a cancer screening appointment
02
Individuals who require documentation for their absence related to cancer screening
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What is cancer screening leave request?
Cancer screening leave request is a request made by an employee to take time off work in order to undergo cancer screenings such as mammograms, colonoscopies, or other preventative tests.
Who is required to file cancer screening leave request?
All employees who are eligible for cancer screening benefits through their employer are required to file a cancer screening leave request in order to take time off work for these screenings.
How to fill out cancer screening leave request?
Employees can fill out a cancer screening leave request by completing the required form provided by their employer, which typically includes information such as the date of the screening appointment and the type of screening being done.
What is the purpose of cancer screening leave request?
The purpose of a cancer screening leave request is to ensure that employees have time off work to prioritize their own health and well-being by attending important cancer screenings.
What information must be reported on cancer screening leave request?
Information such as the date and time of the screening appointment, the type of screening being done, and any relevant medical information may need to be reported on a cancer screening leave request.
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