Get long term incapacity leave form pdf

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Apacity leave period of less than 30 working days. 2 This form comprises six parts, i.e. Parts A to F. The employee must complete Parts A and B. Parts C to F are for official use only. 3 Please ensure that this form is duly completed, signed and accompanied by all the required supporting documents, as missing or omitted information will delay finalisation of the application. Please also refer to the Determination on Leave of Absence for the requirements in respect of medical certificates. 4 This.

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