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SEIU Members Election
Cash Out Sick Leave Hours for Perfect Attendance

Find your appropriate number of months employed and enter the number of sick days you wish to cash out, up to the maximum, in the box provided. When completed, this form MUST be returned to ERSC no later than September 25, 2009, to be eligible for the sick leave cash out.

  • This form is for: SEIU Members
  • Form number: 280-36
  • Last revised: June 2009
Name
PDF Size
Form Number
SEIU Members Election
Cash Out Sick Leave Hours for Perfect Attendance
81 K 280-36

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat

 

For questions regarding forms, call Harriet Potosky at (301) 279-3538.

Updated August 6, 2009 | Maintained by Missy Gumula
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