[dynamictext* your-name readonly class:rem_name "CF7_get_current_user key='display_name' "]

    [dynamictext* your-email readonly class:rem_name "CF7_get_current_user key='user_email' "]

    I verify that I am sick and unable to perform my job duties. I am notifying management that I will not be able to come to the office or work today. I understand that after 3 days I am required to give a doctors note or to report back to work.

    [signature* signature-ill class:signsick]

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