Get the free Personal Illness Medical Leave - UConn Human Resources
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UNIVERSITY OF CONNECTICUT
PROFESSIONAL EMPLOYEES ASSOCIATION
APPLICATION FOR USE OF SICK LEAVE BANK
INSTRUCTIONS: (print or type)
PART A: To be completed by member or his/her agent or family member
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How to fill out personal illness medical leave
How to fill out personal illness medical leave
01
Obtain a medical certificate from a qualified healthcare provider stating your diagnosis and recommended time off work.
02
Complete any necessary paperwork or forms provided by your employer for a medical leave request.
03
Submit the medical certificate and paperwork to your HR department or supervisor for approval.
04
Communicate with your employer regarding updates on your condition and expected return to work date.
05
Follow any additional guidelines or procedures outlined by your employer for medical leave.
Who needs personal illness medical leave?
01
Individuals who are experiencing a personal illness or medical condition that prevents them from being able to perform their job duties effectively.
02
Those who require time off work to focus on their health and recovery without risking their job security or income.
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What is personal illness medical leave?
Personal illness medical leave is a provision that allows employees to take time off from work due to their own medical conditions or illnesses without losing pay or benefits.
Who is required to file personal illness medical leave?
Employees who need to take time off for their own medical issues are required to file a personal illness medical leave.
How to fill out personal illness medical leave?
To fill out personal illness medical leave, employees typically need to complete a designated form which may require details about the illness, the duration of leave, and possibly medical certification from a healthcare provider.
What is the purpose of personal illness medical leave?
The purpose of personal illness medical leave is to ensure that employees can take necessary time off to recover from illness without the fear of losing employment or income.
What information must be reported on personal illness medical leave?
Information that must be reported generally includes the employee's name, the nature of the illness, expected duration of leave, and any required medical documentation.
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