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AppleWorks Document  |  1986-05-15  |  1KB  |  21 lines
  1. O==============================|================================================
  2. SICK DAYS
  3. NAME____________________________  DATE___________________________
  4. I claim __________ day(s), date(s) ______________________________C
  5. as sick days, when I was unable to work because of (explanation):C
  6. _________________________________________________________________
  7. Staff signature_________________________________
  8. Supervisior ____________________________________
  9. Administration__________________________________
  10. COMMENTS:
  11. -----------------------------------------------------------------
  12. SICK DAYS
  13. NAME____________________________  DATE___________________________
  14. I claim __________ day(s), date(s) ______________________________C
  15. as sick days, when I was unable to work because of (explanation):C
  16. _________________________________________________________________
  17. Staff signature_________________________________
  18. Supervisior ____________________________________
  19. Administration__________________________________
  20. COMMENTS:
  21.