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I hereby request leave/approved absence from duty as indicated above and certify that such leave/absence is requested for the purpose(s) indicated.
Request time off at your place of employment with this form; there are sections for company name, logo, absence information, and manager approval.
Start Date of Leave : Return to Work Date : All medical Leaves of Absence require certification from a doctor to return ...
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 ...
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)
Personal Leave of Absence Request Form (NON-FMLA LEAVE) I,_____, hereby request a leave of ...
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 ...
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: _____
I’ve read the applicable leave information sheet and university Leave of Absence Guidelines and understand my responsibilities for requesting this type of leave.

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