
Critical Illness Application Form HR113 This form is to be used to make an application for extended paid sick leave under the Critical Illness Protocol (HSE HR Circular 014/2018 applies) Please complete.
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How to fill out the IE HSE HR113 online
Filling out the IE HSE HR113 form is essential for applying for extended paid sick leave under the Critical Illness Protocol. This guide will help you navigate the process smoothly and ensure that all necessary information is accurately provided.
Follow the steps to complete the application form effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In section 1, complete your personal information including your surname, first name, PPS number, date of birth, personnel number, grade, and place of work. Indicate your wish to apply for extended sick leave by checking the appropriate box, and ensure to sign and date the form.
- For section 2, your line manager will need to indicate whether they recommend this application. They should confirm whether you have been referred to Occupational Health and attach relevant reports. The line manager must also provide their signature, name, and contact information.
- In section 3, the senior manager will evaluate the application. They should state if they approve or reject your application, providing the reasoning if necessary. Ensure all details are completed, including signature, date, and contact information.
- Section 4 must be completed by the Employee Relations Manager or Senior HR decision maker. They need to approve or refuse the application, and provide a reason for refusal if applicable. Authorization for the line manager to initiate the extension of paid sick leave should be included.
- In section 5, the line manager will need to advise you of the decision and take necessary actions based on the approval or rejection of your application, including monitoring final details and ensuring copies are emailed to the relevant departments.
- In section 6, if the application is approved, update the SAP HR system with the relevant absence details, ensuring this is recorded as complete.
- Once you have completed all sections, review the information for accuracy. You may then save changes, download, print, or share the form as needed.
Complete your IE HSE HR113 application online today!
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