Sick Leave Form (pdf)

(AKA "Pink" Sick Leave Form)

The Sick Leave Form is used:

Individual departments may have policies requiring this form be used at other times as well.

The form is retained by the employee's department to document medical verification of sick leave in the above circumstances. However, a copy may need to be sent to the Human Resources Department for the employees personnel service file if:

Last updated Jan 10, 2013



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Para asistencia 612-673-2700, Yog xav tau kev pab, hu 612-637-2800, Hadii aad Caawimaad u baahantahay 612-673-3500. 


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