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Please complete and return this Form to your supervisor 30 days in advance of Leave if possible. employee information Employee Name (First, Last, Middle Initial)
Leave Request Form: Complete this form to apply for a Leave of Absence. The form may be faxed to 678-301-6111 or sent through GCPS courier to the Benefits and Leave ...
Personal Leave of Absence Request Form (NON-FMLA LEAVE) I,_____, hereby request a leave of ...
Employees can specify annual leave, vacation, sick days and paid leave in this free, printable leave of absence form. Free to download and print
This Leave of Absence Request is used by an employee when asking for a leave of absence from his or her job. This form contains the employee’s name, requested dates ...
Start Date of Leave : Return to Work Date : All medical Leaves of Absence require certification from a doctor to return ...
This form is used to place an employee on a non-disability leave of absence. Current Staff: HR/PPPL/DOF Monthly Staff Correction HR/PPPL Biweekly Staff Explain: _____
A leave of absence may consist of leave without pay and/or paid leave (vacation, sick leave, and special holiday). Paid leave may be used in accordance with ...
Depending on the type of leave you request, benefits may or may not continue during an approved leave of absence. Please contact HR for more information.
Leave of Absence Request Form 7/2012 Some medical treatments require a full-time schedule. In those cases, you can request an intermittent leave.

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