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The State provides 5 Sick/Personal days per year. The District (Local) provides 2 Sick/Personal days per year. Your accumulated sick/personal days are noted on each paystub. Contact Donna Hamilton at ext 209 for further information.

Type of leave:

This information is used to determine whether the absence qualifies as Family Medical Leave as defined by the FML Act of 1993. If State Sick/Personal Leave is selected, please note in comment box whether leave is the *result of a work related illness or injury. If you need more information regarding types of leave, please contact Donna Hamilton @ ext. 209.



State Sick/Personal Employee*
State Sick/Personal Immediate Family
State Sick/Personal Extended Family
Local Personal
School Business
Jury Duty
Teacher Requesting Sub:
Date(s) needed:
Time of day:
Additional Comments:

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