Paid Sick Leave (PSL) Request
You may use the available balance in your accrued Paid Sick Leave (PSL) account for sickness, injury, or mental health reasons as discussed in the Benefits and Policy Handbook. When you use PSL, you do not need to provide a doctor's note unless you are missing work for three consecutive days. You will also not be penalized any points on your score card for the time you are using PSL.
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Todays Date *
MM
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DD
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YYYY
Your First & Last Name *
How many hours of PSL are you requesting to use? *
For what date(s) are you requesting PSL? *
What is the reason for using PSL? (Optional)
Electronic Signature - Enter your first/last name below *
Submit
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