After careful consideration, I have decided to cancel my Faculty or

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Faculty/Staff Sick Leave
Bank Cancellation Form Please return to: Employee Benefits Office, 165 Administration Bldg After careful consideration, I have decided to cancel my Faculty or Staff Sick Leave
Bank membership. Employee Name___________________________________________ Signature_________________________________________________ Banner ID__________ Date______________ For Human Resources Sick leave balance hours as of
Completed in Banner HR___________________________ HR Associate
Date______________ A Tennessee Board of Regents Institution An Equal Opportunity/Affirmative Action University
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