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HomeAll templatesrequest formsemergency sick leave request form

Emergency Sick Leave Request Form

You are not keeping well. We understand!

2 minutes to complete

Eligibility

The Emergency Sick Leave Request Form is intended for use by employees who are unable to work due to illness or injury.

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Questions for Emergency Sick Leave Request Form

Questions

1.

Name

The answer should be a text input.
2.

How many working days are you applying for sickness leave

The answer should be a text input.
3.

Start Date

The answer should be a date input.
4.

End Date

The answer should be a date input.
5.

Employee ID

The answer should be a text input.
6.

Position

The answer should be a text input.
7.

Department

The answer should be a text input.
8.

Reason for Sickness Leave

The answer should be a text input.
9.

Employee's Signature

The answer should be a signature.
10.

Date Signed

The answer should be a date input.
11.

Approval Status

The answer should be a single choice:
  1. Approved
  2. Disapproved
12.

Supervisor Name

The answer should be a text input.
13.

Supervisor's Signature

The answer should be a signature.
14.

Date Signed

The answer should be a date input.

Forms Similar to Emergency Sick Leave Request Form

  • Emergency Leave Request Form
  • Emergency Time Off Request Form
  • Emergency Vacation Request Form
  • Emergency Sick Leave Request Form

Here are some FAQs and additional information
on Emergency Sick Leave Request Form

How many accumulated sick days do I have?

Usually, companies provide around eight (8) sick days per year.

Can I carry over my unused sick days?

No, unused sick days do not carry over to the following year.

Can I cash out my unused sick days?

No, unused sick days cannot be cashed out.

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