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Part-Time Sick leave


    Request for Use of Sick Leave


  2. This form must be completed by any staff member who wishes to use sick leave benefits. Request to use allotted sick time must be submitted before time is taken, or on the day when the employee returns to work.  Employees will receive this original request indicating approval of the request, do not assume that submission of a request signifies approval.  Please allow ample time to process your request. 

  3. Employee would like to use Sick Time if Available:*
  4. Approval of Leave (DO NOT CLICK)
  5. Leave This Blank:

  6. This field is not part of the form submission.