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MADERA UNIFIED SCHOOL DISTRICT HUMAN RESOURCES DEPARTMENT CATASTROPHIC LEAVE APPLICATION EMPLOYEE NAME: ___SSN# XXXXX___JOB TITLE:___SITE/DEPT: ___I hereby request to participate in the Madera Unified

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How to fill out catastrophic leave application

01

Obtain a catastrophic leave application form from your HR department or employer.

02

Fill out the form with your personal information, including your name, employee ID, and contact information.

03

Provide details about the reason you are requesting catastrophic leave, including the nature of the illness or injury affecting you or a qualifying family member.

04

Include any supporting documentation or medical certifications required by your employer to support your leave request.

05

Submit the completed catastrophic leave application to your HR department or employer for review and approval.

Who needs catastrophic leave application?

01

Employees who are facing a serious illness or injury that requires them to take an extended leave of absence from work.

02

Employees who have a qualifying family member who is seriously ill or injured and require time off work to care for them.

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What is catastrophic leave application?

Catastrophic leave application is a form used to request time off work due to a serious medical condition or personal emergency.

Who is required to file catastrophic leave application?

Employees who need to take extended time off work due to a catastrophic event or personal emergency are required to file a catastrophic leave application.

How to fill out catastrophic leave application?

To fill out a catastrophic leave application, employees must provide details about the reason for their leave request, expected duration of leave, and any relevant supporting documentation.

What is the purpose of catastrophic leave application?

The purpose of catastrophic leave application is to allow employees to take time off work for a serious medical condition or personal emergency without sacrificing their accrued leave.

What information must be reported on catastrophic leave application?

Employees must report the reason for their leave, expected duration of leave, and any relevant documentation from a medical professional or other relevant authority.

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