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City Excuse  Form

City Excuse Form

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Perform the following functions of his/her job: ________________________________________________________________________ ________________________________________________________________________ It is expected the individual will be able to return to work on: __________________ __________________________________ Doctor’s Signature Date: This optional form should be used when an employee is absent on sick leave for 3 or more days. Pursuant to City policy PM 46-03: an employee may be absent from...
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