Sick Leave Request Form. The Employer shall require an employee to furnish a standard written and signed statement explaining the nature of the illness or injury to justify the use of sick leave. Falsification of either a written, signed statement or a physician’s certificate shall be grounds for disciplinary action.
Sick Leave Request Form. 1. Please read the entire Employee Statement. To be eligible for the program, you must check all 7 boxes.
Sick Leave Request Form. Sick leave pay shall be approved only upon submission of a signed request form available in the office.