Sick Leave Pool Request Packet - Stephen F. Austin State University 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This is essential for tracking your request.
3. Fill in your Social Security Number, name, address, department, and title accurately to ensure proper identification.
4. Indicate your last day worked and provide a detailed description of the circumstances that qualify you for sick leave pool assistance. Remember to attach any necessary medical certification from a licensed practitioner.
5. Sign the form where indicated to confirm your request. Ensure all information is complete before submission.
6. If applicable, have your licensed practitioner complete their section, including their signature and contact information.
7. Finally, submit the completed form to Human Resources as instructed at the bottom of the document.

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