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 To obtain, or assist an immediate family member in obtaining, mental health counseling <br />related to an incident of domestic violence, sexual assault or stalking in which the employee <br />or the employee's immediate family member was a victim of domestic violence, sexual <br />assault or stalking. <br /> Participating, for the employee or for the employee's immediate family member(s), in: <br />safety planning; or temporary or permanent relocation; or other actions to increase the <br />safety from future incidents of domestic violence, sexual assault, or stalking. <br /> <br />“Immediate family member” shall include only persons related by blood or marriage, <br />guardianship or legal adoption to the extent of wife, husband, registered domestic partner, <br />parent, grandparent, brother, sister, child or grandchild of the employee and other relatives <br />residing in the employee's household. <br />Notification of Need for Leave <br /> If the requirement for sick leave usage is foreseeable, such as a scheduled doctor or dentist <br />visit, employees should give 10 days’ advance notice or as early as practicable. <br /> If unforeseeable, notice should be given as soon as possible before the required start of the <br />employee’s shift, unless it is not practicable to do so. <br /> Another person may provide notice on the employee’s behalf if impracticable for the <br />employee to do so. <br /> If the request relates to domestic violence or emergency precludes advance notice, the <br />employee must provide notice by the end of the first day that leave starts. <br />Verification for Absences Exceeding Three (3) Days <br />If an employee is seeking to use or has used paid sick leave for authorized purposes for more <br />than three (3) consecutive days during which the employee is/was required to work, the <br />employee will be required to provide verification that establishes or confi rms that the use of <br />paid sick leave is for an authorized purpose. The employee will need to complete and sign the <br />“Employee Verification for Authorized Use of Accrued Paid Sick Leave” form, and return the <br />form with any required documentation to their supervisor within ten (10) calendar days of the <br />first day an employee used paid sick leave. Verification forms will be forwarded to the Human <br />Resource Department to be included in the employee's medical records file. Any notes <br />received from doctors should not be maintained in department files. The requirement for <br />verification applies to use of sick leave for the employee’s own health condition, or use to care <br />for an immediate family member.