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  2. Board Of Aldermen - Agenda - 12/23/2019 - P151

Board Of Aldermen - Agenda - 12/23/2019 - P151

By dnadmin on Sun, 11/06/2022 - 22:31
Document Date
Fri, 12/20/2019 - 14:07
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Mon, 12/23/2019 - 00:00
Page Number
151
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__122320…

APPENDIX #C:
UFPO Local 645 Professional Employees of the Nashua Police Department
SICK BANK TRANSFER FORM

Directions: Eligible members will complete the form and submit it to the UFPO of the Nashua
Police Department Sick Bank Committee Chairman or other member of the Committee in
his/her absence. The Chairman or designee will be responsible for taking the necessary actions
to have the transfer take place and to monitor said transfer into the Sick Bank.

Date:

To: City of Nashua, Payroll Department

| would like to participate in the Sick Leave Bank of the UFPO of the Nashua Police
Department.

| wish to donate the following number of sick days to the
Program:

{Printed Name}

{Signature}

SICK BANK COMMITTEE

(Printed Name)

(Signature)

Cc: NPD, Sick Bank Committee

49

Page Image
Board Of Aldermen - Agenda - 12/23/2019 - P151

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