Sick Leave Disability Extension Form Checklist: F 2025

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Extended Illness Bank (EIB) Summary Definition: An employee benefit that lets employees save up and use extra paid sick leave during an extended illness or severe injury.
Extended illness or injury means a period of at least 3 or more weeks of illness or injury which is verified by a licensed health care practitioner to a maximum of 6 consecutive months.
Extended sick leave is a type of leave that allows employees to take an extended period off from work due to a serious illness or injury. This leave is typically longer than standard sick leave and may be necessary for recovery from major surgeries, chronic illnesses, or other significant health conditions.
PTO is used for the first two (2) eight (8)-hour days and EIB is used for the third (3rd) eight (8)-hour day.
If You Need to Extend Your DI Period You will receive a Physician/Practitioners Supplementary Certificate (DE 2525XX) with your final payment. Have your physician/practitioner complete and submit this form to find out if you are eligible for an extension. Your physician/practitioner can find your claim in SDI Online.
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