Sick Leave Bank Request. I am a member of the Norridge District 80 Sick Leave Bank and I am requesting paid sick leave due to a catastrophic illness. I have used (or will have used) all of my accrued sick and personal leave and I have gone at least three days without pay. I am requesting certification from a licensed medical practitioner stating the beginning date of the condition, a description of the catastrophic illness, and the date I expect or return to work. A medical statement of rationale will be required to extend sick leave benefits beyond initial request and allotment to the maximum of fifty days (50). I am requesting days from the Sick Leave Bank to be credited to my sick leave balance.
Sick Leave Bank Request. A staff member choosing to use the sick leave bank will do so by completing the available sick leave bank request form and submitting it to the superintendent.
Sick Leave Bank Request. Section 1 to be filled out by Employee making the request: Employee Name__________________________________________Date___________________ Union__________________________________________________ Non-Union_____________ Department_____________________________________________________________________ Reason for request_______________________________________________________________ Doctor's certificate as to the need for and anticipated extent of recovery time attached ____ YES ____ No, will be available on _____________________ The following criteria shall be used by the sick leave committee in administering the bank and in determining eligibility and amounts of leave:
