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Forms

Below is a list of forms that are frequently used by members:

  • CUPE 4168:
    • Submit your personal contact Information (Google Form)
    • CUPE 4168 – Expense/Mileage Form (GoogleSheet, v19 Jan 2024)
    • CUPE 4168 – Expense/Mileage Form (PDF, v19 Jan 2024) 
    • LTD – Termination of Benefits (PDF)
    • Medical Certificate / FAF (PDF)
  • SCCDSB (may require login to access):
    • Request for Absence (RFA) Form (PDF, Oct 2017)

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