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CCA-020 Care Worker Handback of Work

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CCA-020 Care Worker Handback of Work

Care Worker

Name *

Reason for handback *

Mental health

Diarrhoea and sickness

Family illness

Bereavement

Vehicle breakdown

Personal illness

Other, please specifyOther, please specify

On which date to work did the employee hand back? *

Please note a seperate handback form must be completed for each day handed back.

Number of hours handed back *

If you are human, leave this field blank.

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