Request for leave or approved absenceFound 9 free book(s)
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 (SSN))
Personal Leave of Absence Request Form (NON-FMLA LEAVE) I,_____, hereby request a leave of absence effective _____
31.03.03 Leave of Absence With Pay Page 1 of 5 31.03.03 Leave of Absence With Pay Approved February 13, 1998 Revised December 6, 1999 Revised March 2, 2001
_____ Your FMLA leave request is approved. All leave taken for this reason will be designated as FMLA leave.
Request for or Notification of Absence No. of Hours Requested From Date Thru Date Hour Hour Revised Schedule for (Date) Approved in Advance Yes No Begin Work Lunch-Out Lunch-In End Work
Employee’s Signature and Date Signature of Person Recording Absence and Date Signature of Supervisor and Date Notified I understand that the annual leave authorized in excess of the amount available to me during the leave year will be charged to LWOP.
4. For all employees who request a leave due to a personal serious illness (not associated with a disability claim), a birth of a child or the need to care for a seriously ill child, spouse, parent, qualifying exigencies
Page 4 of 4 514 Leave Without Pay 514.1 Essential Features The following definitions apply for the purposes of 514: a. LWOP is an authorized absence from duty in a …
29b. date (yymmdd) 10. type leave see reverse for privacy act statement 21. ration status (enlisted) 20. leave address
Request for Leave or Approved Absence, Leave, Absence Request, Request, Absence, Leave of Absence With Pay, Leave of Absence With Pay Approved, Designation Notice, Leave request, Approved, Request for or Notification of Absence, Or Dependent Care, Medical Documentation for Sick Leave, LEAVE REQUEST/AUTHORIZATION REVERSE OF