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Get Atu Form

T. Please send original form to 1) Mail Code 26-31; or 2) fax number 613-741-3826; or 3) send to 100 Constellation, 5th Floor West, Payroll, Pension & Benefits Branch, Ottawa ON K2G 6J8; or 4) email ATU279-sickleavecertification ottawa.ca . To be completed by Employee Employee Name Telephone # (home) Employee # (work) Last day worked Last day sick First day off sick Date of return to work Occupation Supervisor Scheduled Days off Are you claiming Worker s compensation for this period or i.

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