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 Employee Self Report
Please submit the form below for all issues related sick leave including requests for testing.*** You must contact the personnel office to receive permission to return to work.***  Be sure to click the last button and have a copy emailed to your account for your records. Thank you for keeping us informed so that we can help,  
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Email *
Untitled Title
Employee Last name* *
Employee First Name *
Please include a phone number and email where you can reached: *
Date of birth. *
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DD
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YYYY
Address. *
Location *
What is your position in the district? *
You are informing CCISD that : Please check all that apply *
Required
Date symptoms First started *
MM
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DD
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YYYY
Type of Test *
Date of test *
MM
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DD
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YYYY
What day were you last at work or near employees/students.
You will be contacted by the personnel office to determine the next steps. You must have the approval to return to work from the personnel office. *
Required
A copy of your responses will be emailed to the address you provided.
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