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  • Absence Request

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    Absence Request

    Employees may use this form when requesting future time off or reporting previous time off. Remember employees can take mandatory paid sick leave upon verbal or written request. This form also gives your employees the opportunity to indicate a family and medical leave of absence, although it is not required.​​​​​

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  • Employers Report of Occupational Injury or Illness

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    Employers Report of Occupational Injury or Illness

    Use this form to report an employee’s injury or illness if it requires more than first aid. Send a copy to your insurer, or if self-insured, to the Department of Industrial Relations within five days following notice of injury or illness.

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