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Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number ...
Personal Leave of Absence Request Form (NON-FMLA LEAVE) I,_____, hereby request a leave of ...
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)
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 ...
VANDERBILT UNIVERSITY HUMAN RESOURCES POLICIES AND PROCEDURES SUBJECT: Non-FMLA Medical and Personal Leave of Absence EFFECTIVE DATE: July 1, 2015
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.
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: _____
Use the Leave of Absence document if: You need to take a leave of absence from work. You're an employer who needs to work out a leave of absence with an employee.
Family and Medical Leave Act (FMLA) Request Form To be completed by employee Employee’s Name Department Phone Number Job Title Employee ID Initial Application Home ...

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