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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)
I hereby request leave/approved absence from duty as indicated above and certify that such leave/absence is requested for the purpose(s) indicated.
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 ...
leave of absence, deferred admissions, forms ... Future Students UVU will wait for YOU apply now, enroll later
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 ...
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 ...
Personal Leave of Absence Request Form (NON-FMLA LEAVE) I,_____, hereby request a leave of ...
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: _____
Leave of Absence Form Data Sur nam e First Name Employee No. Depar tment /Division/ W or ksi te Posi tion Uni on Illness With Pay ‚ Without Pay ‚ No.
I. Non-FMLA Medical Leave of Absence. Leave within First Year of Employment ... days in advance of the expected date of return reflected on the Request for Leave form.

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