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Sick Leave Bank Form

By signing this form you verify that all information is correct and accurate and you do hereby voluntarily/agree to contribute one of your accumulated sick days to the JCTA Sick Leave Bank (SLB). You understand that this form authorizes JCPS payroll to distribute one of your sick days to the JCTA Sick Leave Bank (SLB). Your enrollment is valid until September 1, 2026.

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Sunday, April 21, 2024
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Jefferson County Teachers Association

1941 Bishop lane, Suite 300, Louisville, KY 40218
(502) 454-3400, Fax: (502) 452-2794

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