Application for Use of Sick Leave. Classified EMPLOYEE NAME DATE BUILDING/DEPARTMENT POSITION The undersigned, hereby applies for days of sick leave as provided in Section 3319.141 of the Ohio Revised Code. I began my absence a.m. 20 p.m. 20 I returned to duty a.m. 20 p.m. 20 The undersigned further states that the use of sick leave is justified for the following reason:
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