Follow the steps to successfully complete your sick leave bank request.

1. Click the ‘Get Form’ button to obtain the Sick Leave Bank Request Form and open it for editing.
2. Begin by obtaining a medical statement from your physician. This statement must be on official medical office letterhead or a prescription pad. Ensure it includes the diagnosis, date you were last able to work, expected date of return, and the physician’s signature.
3. Complete Section A of the form. This section requires you to fill in your name, date, home telephone number, cell phone number, position, workday hours, school location, and contact number with extension.
4. In the same section, provide a detailed description of your medical illness or injury. Be thorough to help the reviewing committee understand your situation.
5. Indicate the number of consecutive days you are requesting from the Sick Leave Bank, as per your need.
6. Sign and date the application confirming that the information you provided is true to the best of your knowledge.
7. After you complete your part, the form will move on to Section B, which will be filled out by Human Resources. They will assess your eligibility and fill in additional relevant details.
8. Once Human Resources completes their part, the form will be forwarded to the Sick Leave Bank Committee. They will review your request and decide on the number of sick leave days granted.
9. Finally, you will be notified by Human Resources about the Committee’s decision, and relevant parties, including Payroll and Employee Benefits, will be informed.
10. At this point, you can save changes to your form, download it for your records, print a hard copy, or share it as needed.

Complete your Sick Leave Bank Request Form online today to ensure your request is processed promptly.