Form ADM4726 Salary Continuation or Occupational Injury Leave Extension / Reactivation Request - Ohio

Form ADM4726 Salary Continuation or Occupational Injury Leave Extension / Reactivation Request - Ohio

What Is Form ADM4726?

This is a legal form that was released by the Ohio Department of Administrative Services - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is ADM4726?
A: ADM4726 is a form used for requesting salary continuation or occupational injury leave extension/reactivation in Ohio.

Q: What is salary continuation?
A: Salary continuation refers to the payment of an employee's salary during a period of absence due to an occupational injury.

Q: What is occupational injury leave extension?
A: Occupational injury leave extension refers to extending the period of leave granted to an employee due to an occupational injury.

Q: How can I use ADM4726?
A: You can use ADM4726 to request salary continuation or occupational injury leave extension/reactivation in Ohio.

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Form Details:

  • Released on December 1, 2018;
  • The latest edition provided by the Ohio Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form ADM4726 by clicking the link below or browse more documents and templates provided by the Ohio Department of Administrative Services.

Download Form ADM4726 Salary Continuation or Occupational Injury Leave Extension / Reactivation Request - Ohio

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