Sample Sick Pool Letter

Date

Trustees of the Sick Pool

Mary Beth Flatley, STA President
Dr. Valerie Kelsey, Superintendent

Schalmont Central School District
4 Sabre Drive
Schenectady, New York 12306

Dear Mrs. Flatley and Dr. Kelsey:

At this time I am requesting the use of sick pool days to cover the portion of my disability period not covered by my accumulated sick time.  I am requesting the use of the sick pool days commencing on (date) and ending when my doctor determines the completion of my disability period.

Sincerely,

Name